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1508253733
JIMMIE OVERSTREET
NEW YORK, NY
NPI
1508253733
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: NY 497489041)
Enumeration Date
2015-04-27
Last Update Date
2015-04-27
Business Address
Mr. JIMMIE OVERSTREET
236 2ND AVE SUITE 401
NEW YORK, NY 10003-2704
Phone number: 212-683-8905
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Mailing Address
Mr. JIMMIE OVERSTREET
9010 149TH ST APT 1B
JAMAICA, NY 11435-3956
Phone number: 347-770-1106
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