ROGER D GRIMM

MUNCIE, IN
NPI1255369013
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36000488A)
Enumeration Date2006-06-29
Last Update Date2007-07-08
Business Address
-- ROGER D GRIMM ATC
3813 S. MADISON ST.
MUNCIE, IN 47302
Phone number: 765-751-3362
Mailing Address
-- ROGER D GRIMM ATC
1470 E. STATE ST.
ALBANY, IN 47320
Phone number: 765-789-6178
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