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Individual

MRS. LYNNE M GRIMES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
49 SILVA ST, CARVER, MA 02330-1344
(508) 866-9066
(508) 866-8633
Mailing address
49 SILVA ST, CARVER, MA 02330-1344
(508) 866-9066
(508) 866-8633

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
211318
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0799203
MASS HEALTH PROVIDER
MA
Enumeration date
04/03/2007
Last updated
07/08/2007
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