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JOHNNIE MAE GRIMES

>> Contractor >> Other Service Providers

Registrant NPI Number: 1053741249

Individual Registrant:
 JOHNNIE MAE GRIMES 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
16277 SE HIGHWAY 19  CROSS CITY, FL 32628-3502 US
Tel: 352-498-0338  Fax: 352-498-3044

Contact information for business:
16277 SE HIGHWAY 19  CROSS CITY, FL 32628-3502 US
Tel: 352-498-0338  Fax: 352-498-3044

Registration Information:
NPI: 1053741249
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171W00000XOther Service Providers
Contractor

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS FL - Page 1



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