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1013408806
AMOS RICHARD GRIM
SOUTH OGDEN, UT
NPI
1013408806
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: UT 1180631-8900)
Enumeration Date
2018-05-29
Last Update Date
2020-12-17
Business Address
AMOS RICHARD GRIM NP
5974 FASHION POINT DR STE 140
SOUTH OGDEN, UT 84403-4838
Phone number: 801-683-1062
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Mailing Address
AMOS RICHARD GRIM NP
415 MEDICAL DR STE D101
BOUNTIFUL, UT 84010-8905
Phone number: 801-683-1062
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