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1477214476
JASON FAIRLEY GRIMES
FAYETTEVILLE, NC
NPI
1477214476
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NC A6361)
Enumeration Date
2022-01-03
Last Update Date
2022-01-03
Business Address
JASON FAIRLEY GRIMES
2290 KERFIELD CT
FAYETTEVILLE, NC 28306-2593
Phone number: 910-322-3437
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Mailing Address
JASON FAIRLEY GRIMES
2290 KERFIELD CT
FAYETTEVILLE, NC 28306-2593
Phone number: 910-322-3437
Copy
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