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1720391923
BILLY GRIMES
MUSKOGEE, OK
NPI
1720391923
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-07-16
Last Update Date
2010-07-16
Business Address
-- BILLY GRIMES LADC
313 GAWF LN
MUSKOGEE, OK 74403-6109
Phone number: 918-289-0550
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Mailing Address
-- BILLY GRIMES LADC
313 GAWF LN
MUSKOGEE, OK 74403-6109
Phone number:
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