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1235946864
MARCUS S GRIMSLEY
VENICE, LA
NPI
1235946864
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2024-12-17
Last Update Date
2024-12-17
Business Address
MARCUS S GRIMSLEY
436 COAST GUARD RD
VENICE, LA 70091-4340
Phone number: 504-915-7195
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Mailing Address
MARCUS S GRIMSLEY
436 COAST GUARD RD
VENICE, LA 70091-4340
Phone number:
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