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1114759578
GRACEFUL IRIS MORRIS
PAYETTE, ID
NPI
1114759578
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Former Name
GRACEFUL IRIS MARTIN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID 7061372)
Enumeration Date
2024-08-15
Last Update Date
2024-08-15
Business Address
GRACEFUL IRIS MORRIS FNP
1000 S 16TH ST # C
PAYETTE, ID 83661-3403
Phone number: 208-642-9222
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Mailing Address
GRACEFUL IRIS MORRIS FNP
16901 PRAIRIE LN
NAMPA, ID 83651-8059
Phone number: 208-602-1172
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