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Individual

MR. JONATHAN ROBERT GRIMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3500 7TH AVE S, BIRMINGHAM, AL 35222-3211
(205) 490-8228
Mailing address
3500 7TH AVE S, BIRMINGHAM, AL 35222-3211
(205) 490-8228

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
06/11/2021
Last updated
06/16/2021
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