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1023844248
KATHERINE GRIJALVA
MIDDLETON, ID
NPI
1023844248
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID F09240265)
Enumeration Date
2024-09-12
Last Update Date
2024-09-12
Business Address
KATHERINE GRIJALVA
12899 FINCH LN
MIDDLETON, ID 83644-5194
Phone number: 208-250-8629
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Mailing Address
KATHERINE GRIJALVA
12899 FINCH LN
MIDDLETON, ID 83644-5194
Phone number: 208-250-8629
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