Individual
JOHN GRIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNS-BC
Contact information
Practice address
30 E APPLE ST STE 5254A, DAYTON, OH 45409-2939
(937) 208-4200
(937) 208-4205
Mailing address
3170 KETTERING BLVD BLDG B2ND, MORAINE, OH 45439-1924
(937) 991-3191
(937) 223-9811
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
COA NS-11161
OH
Other
Enumeration date
03/19/2010
Last updated
08/02/2018
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