MR. Clinton Lloyd Grimes, BS

NPI #1073781589 in Boley, Oklahoma

Provider Information

NPI Number: 1073781589
Entity Type: Individual
Name: MR. Clinton Lloyd Grimes, BS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Credential: BS
Enumeration Date: Feb 19, 2008
Last Updated: Aug 26, 2019

Practice Location

Address: 369026 US HIGHWAY 62
City: Boley
State: Oklahoma
ZIP Code: 74829
Phone: (918) 667-3367

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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