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1720818990
JOSEPHINE OVALLES
STATEN ISLAND, NY
NPI
1720818990
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: NY 1642176221)
Enumeration Date
2024-08-03
Last Update Date
2024-08-03
Business Address
JOSEPHINE OVALLES
133 STROUD AVE
STATEN ISLAND, NY 10312-3243
Phone number: 917-999-6895
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Mailing Address
JOSEPHINE OVALLES
133 STROUD AVE
STATEN ISLAND, NY 10312-3243
Phone number: 917-999-6895
Copy
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