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Individual
MRS. JAN LYNN GRIMES
Active
Individual
MRS. JAN LYNN GRIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.,N.P.,L.P.C
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
12493
TX
163WP0808X
Psychiatric/Mental Health Registered Nurse
236780
TX
Other
Enumeration date
09/26/2005
Last updated
02/27/2008
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