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Individual

DR. JAMES H. GRIMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1405 HARRISON AVE NW, STE. 101, OLYMPIA, WA 98502-5360
(360) 357-5548
(360) 786-9797
Mailing address
1405 HARRISON AVE NW STE 101, OLYMPIA, WA 98502-5327
(360) 357-5548
(360) 786-9797

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1082
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2027738
WA
05
2495208
WA
05
8028011
WA
01
910872462
TAX ID #
WA
Enumeration date
08/18/2005
Last updated
08/24/2010
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