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NATHANIEL GRIMES

>> Community Health Worker >> Other Service Providers

Registrant NPI Number: 1780011619

Individual Registrant:
 NATHANIEL  GRIMES 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
806 E 6 ST  NENANA, AK 99760 US
Tel: 907-832-5461  Fax: --

Contact information for business:
806 E G ST  NENANA, AK 99760 US
Tel: --  Fax: --

Registration Information:
NPI: 1780011619
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y172V00000XOther Service Providers
Community Health Worker

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS AK - Page 1

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