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Individual

KIMBERLY LYNN GREMMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
822 PINE ST APT 3, PORT HURON, MI 48060-5385
(810) 334-5008
Mailing address
822 PINE ST APT 3, PORT HURON, MI 48060-5385
(810) 334-5008

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
01/10/2008
Last updated
01/10/2008
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