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1528399920
JACQUELINE GRIMES
TAMPA, FL
NPI
1528399920
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 9166865)
Enumeration Date
2010-01-25
Last Update Date
2010-01-25
Business Address
-- JACQUELINE GRIMES
13000 BRUCE B DOWNS BLVD
TAMPA, FL 33612-4745
Phone number: 813-972-2000
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Mailing Address
-- JACQUELINE GRIMES
31110 WRENCREST DR
WESLEY CHAPEL, FL 33543-7882
Phone number:
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