ETHAN NATHANIEL GRIMES

LEXINGTON, KY
NPI1326588120
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2017-02-28
Last Update Date2017-03-09
Business Address
-- ETHAN NATHANIEL GRIMES
124 CISCO RD
LEXINGTON, KY 40504-1143
Phone number: 859-253-1686
Mailing Address
-- ETHAN NATHANIEL GRIMES
124 CISCO RD
LEXINGTON, KY 40504-1143
Phone number: 859-253-1686
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