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1598089211
JESSICA LYNN GRIMM
MEQUON, WI
NPI
1598089211
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 11311-24)
Enumeration Date
2010-03-24
Last Update Date
2018-06-17
Business Address
JESSICA LYNN GRIMM DPT
12800 N LAKE SHORE DR
MEQUON, WI 53097
Phone number: 262-243-4498
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Mailing Address
JESSICA LYNN GRIMM DPT
12800 N LAKE SHORE DR
MEQUON, WI 53097-2418
Phone number: 262-243-4498
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