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1306344932
MATTHEW GRIMES
PORTSMOUTH, VA
NPI
1306344932
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171000000X Military Health Care Provider
(Licence: VA 0102205742)
Enumeration Date
2018-01-29
Last Update Date
2023-04-10
Business Address
MATTHEW GRIMES DO
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708-2111
Phone number: 757-953-5000
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Mailing Address
MATTHEW GRIMES DO
2496 BAUER ROAD
SAN DIEGO, CA 92145-0001
Phone number:
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