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1457579609
JERRY D. GRIMES
AUSTELL, GA
NPI
1457579609
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Professional Name
JERRY D. GRIMES
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
246ZS0410X Specialist/Technologist, Other, Surgical Technologist
Enumeration Date
2007-04-23
Last Update Date
2007-07-08
Business Address
Mr. JERRY D. GRIMES
705 WHISPER TRL APT #204B
AUSTELL, GA 30168-7135
Phone number: 678-488-5272
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Mailing Address
Mr. JERRY D. GRIMES
PO BOX 28094
ATLANTA, GA 30358-0094
Phone number: 678-488-5272
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