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Individual

DR. VIRGINIA S GRIM

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
AUD

Contact information

Practice address
114 S LAUREL ST, KUTZTOWN, PA 19530-1509
(610) 683-6108
(610) 683-6108
Mailing address
114 S LAUREL ST, KUTZTOWN, PA 19530-1509
(610) 683-6108
(610) 683-6108

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
AT000006 L
PA
237600000X
Audiologist-Hearing Aid Fitter
Primary
AT000006L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1503917
PA
Enumeration date
08/22/2005
Last updated
09/11/2025
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