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Individual

KELLY MARIE GRIMES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
10070 WHEAT RIDGE DR, FRISCO, TX 75034-4719
(469) 585-1649
(468) 287-2132
Mailing address
10070 WHEAT RIDGE DR, FRISCO, TX 75034-4719
(469) 585-1649
(468) 287-2132

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
658922
TX

Other

Enumeration date
01/14/2007
Last updated
09/04/2007
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