Individual
ELIZABETH GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2617 GENERAL PERSHING BLVD, OKLAHOMA CITY, OK 73107-6437
(405) 609-0660
Mailing address
1004 E LOCKHEED DR, MIDWEST CITY, OK 73110-5208
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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