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Individual

MEGHAN GRIMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1801 GRANT AVE, JONESBORO, AR 72401-6155
(870) 974-9114
(870) 974-9184
Mailing address
1801 GRANT AVE, JONESBORO, AR 72401-6155
(870) 974-9114
(870) 974-9184

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OTR1928
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
154669721
AR
01
5Y280
BLUECROSS PROVIDER #
AR
Enumeration date
07/01/2006
Last updated
03/07/2014
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