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Individual
ZACHARY CAMDEN GRIMES
Active
Individual
ZACHARY CAMDEN GRIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
28209788A
IN
363LF0000X
Family Nurse Practitioner
Primary
71010360A
IN
Other
Enumeration date
09/08/2020
Last updated
09/03/2026
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