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1861620882
DANIEL JOSEPH GRIMES
TULSA, OK
NPI
1861620882
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
(Licence: OK 109)
Enumeration Date
2009-06-29
Last Update Date
2009-06-29
Business Address
Mr. DANIEL JOSEPH GRIMES CPED
6112 E 61ST ST
TULSA, OK 74136-2117
Phone number: 918-408-0589
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Mailing Address
Mr. DANIEL JOSEPH GRIMES CPED
6112 E 61ST ST
TULSA, OK 74136-2117
Phone number: 918-408-0589
Copy
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