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1558678110
JIM EBERT
COLTS NECK, NJ
NPI
1558678110
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
(Licence: NY 006813)
Enumeration Date
2010-09-02
Last Update Date
2010-09-02
Business Address
-- JIM EBERT OT
7 OLDEN CT
COLTS NECK, NJ 07722-1441
Phone number: 732-740-9682
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Mailing Address
-- JIM EBERT OT
7 OLDEN CT
COLTS NECK, NJ 07722-1441
Phone number: 732-740-9682
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