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1073792586
HEATHER FAYE GRIMMETT
BLACKFOOT, ID
NPI
1073792586
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA-702)
Enumeration Date
2007-10-31
Last Update Date
2007-10-31
Business Address
-- HEATHER FAYE GRIMMETT PA
1441 PARKWAY DR
BLACKFOOT, ID 83221-1667
Phone number: 208-785-2600
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Mailing Address
-- HEATHER FAYE GRIMMETT PA
1441 PARKWAY DR
BLACKFOOT, ID 83221-1667
Phone number: 208-785-2600
Copy
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