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Individual

MRS. CAROL S GRIMM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
CLINIC #3301 28100 CHAGRIN BLVD, WOODMIRE, OH 44122
(216) 831-1466
Mailing address
5702 BRIDGETOWN RD APT 8, STREET ADDRESS 2, CINCINNATI, OH 45248
(513) 479-8863

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.026390
OH

Other

Enumeration date
12/18/2019
Last updated
09/14/2021
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