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1104208123
SHELBY GRIMES
AUSTIN, TX
NPI
1104208123
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: TX MT120935)
Enumeration Date
2015-06-25
Last Update Date
2015-06-25
Business Address
-- SHELBY GRIMES
4716 DUVAL RD APT C13
AUSTIN, TX 78727-6852
Phone number: 432-528-4488
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Mailing Address
-- SHELBY GRIMES
4716 DUVAL RD APT C13
AUSTIN, TX 78727-6852
Phone number: 432-528-4488
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