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Individual

ASHLEY GRIMSHAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2201 BEAR CREEK DR, ONTARIO, NY 14519-9725
(585) 750-3060
Mailing address
2201 BEAR CREEK DR, ONTARIO, NY 14519-9725
(585) 750-3060

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
10308175
NY

Other

Enumeration date
03/29/2016
Last updated
03/29/2016
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