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1437937505
STEPHANIE FAWBUSH GRIMES
LOUISVILLE, KY
NPI
1437937505
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: 86056577)
Enumeration Date
2023-09-19
Last Update Date
2023-09-19
Business Address
Mrs. STEPHANIE FAWBUSH GRIMES RD, LD
1411 E BRECKINRIDGE ST
LOUISVILLE, KY 40204-1707
Phone number: 859-814-3306
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Mailing Address
Mrs. STEPHANIE FAWBUSH GRIMES RD, LD
1411 E BRECKINRIDGE ST
LOUISVILLE, KY 40204-1707
Phone number: 859-814-3306
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