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1235913567
JIMMY DALE GRIMES
CAPE CORAL, FL
NPI
1235913567
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: FL NH5915)
Enumeration Date
2023-08-18
Last Update Date
2023-08-18
Business Address
JIMMY DALE GRIMES
3617 SURFSIDE BLVD
CAPE CORAL, FL 33914-4884
Phone number: 574-208-7345
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Mailing Address
JIMMY DALE GRIMES
3617 SURFSIDE BLVD
CAPE CORAL, FL 33914-4884
Phone number: 574-208-7345
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