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Individual

DR. GEANNE R GRIMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
2323 14TH ST, COLUMBUS, NE 68601-5009
(402) 564-2622
(402) 563-3717
Mailing address
2323 14TH ST, COLUMBUS, NE 68601-5009
(402) 564-2622
(402) 563-3717

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
489
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09767
BLUE CROSS
NE
01
9907
MIDLANDS CHOICE
NE
01
P00083250
RAILROAD MEDICARE
NE
Enumeration date
10/18/2006
Last updated
12/13/2010
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