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1477899037
LA REA ANN GRIMSHAW
MOORE, OK
NPI
1477899037
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OK L0056826)
Enumeration Date
2012-12-28
Last Update Date
2012-12-28
Business Address
Mrs. LA REA ANN GRIMSHAW LPN
4400 KATIE RIDGE DR
MOORE, OK 73160-6269
Phone number: 405-246-6106
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Mailing Address
Mrs. LA REA ANN GRIMSHAW LPN
4400 KATIE RIDGE DR
MOORE, OK 73160-6269
Phone number: 405-246-6106
Copy
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