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1104367739
GEORGINA GISELLE GRIMM
OAKLAND, CA
NPI
1104367739
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95006100)
Enumeration Date
2017-03-15
Last Update Date
2017-03-15
Business Address
Ms. GEORGINA GISELLE GRIMM FNP
9925 INTERNATIONAL BLVD #5
OAKLAND, CA 94603-2558
Phone number: 510-777-1177
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Mailing Address
Ms. GEORGINA GISELLE GRIMM FNP
5018 SHAFTER AVE
OAKLAND, CA 94609-2221
Phone number: 510-388-3261
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