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1588827026
JAISON A GRIMES
INDIANAPOLIS, IN
NPI
1588827026
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: IN 01071593A)
Enumeration Date
2008-07-03
Last Update Date
2015-11-17
Business Address
-- JAISON A GRIMES MD
355 W 16TH ST SUITE 3200
INDIANAPOLIS, IN 46202-2207
Phone number: 317-963-7400
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Mailing Address
-- JAISON A GRIMES MD
250 N SHADELAND AVE STE 130 - PROVIDER ENROLLMENT
INDIANAPOLIS, IN 46219-4959
Phone number:
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