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1659655074
CHALLIS A. GRIMM
LAKE MARY, FL
NPI
1659655074
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL ARNP9176451)
Enumeration Date
2011-10-04
Last Update Date
2015-03-30
Business Address
-- CHALLIS A. GRIMM ARNP
917 RINEHART RD SUITE 2041
LAKE MARY, FL 32746-4802
Phone number: 407-804-6133
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Mailing Address
-- CHALLIS A. GRIMM ARNP
4371 VERONICA S SHOEMAKER BLVD ATTN: CREDENTIALING
FORT MYERS, FL 33916-2216
Phone number: 239-274-8200
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