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1609603299
JEROME ELLIS OVERTON
CHARLOTTE, NC
NPI
1609603299
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WC0200X Registered Nurse, Critical Care Medicine
(Licence: NC 333863)
Enumeration Date
2024-09-17
Last Update Date
2024-09-17
Business Address
JEROME ELLIS OVERTON RN
200 HAWTHORNE LN
CHARLOTTE, NC 28204-2515
Phone number: 704-384-4000
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Mailing Address
JEROME ELLIS OVERTON RN
187 PLANTERS ROW RD
IRON STATION, NC 28080-6714
Phone number: 704-748-3926
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