Individual
DR. GAVIN GRIMALDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
101 LEALAND LN STE C, LEBANON, TN 37087-2025
(814) 341-2128
Mailing address
830 DEAN DR, MOUNT JULIET, TN 37122-4393
(814) 341-2128
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3675
TN
Other
Enumeration date
01/12/2023
Last updated
09/12/2023
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