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1306468483
KELLI ANN GRAMBEAU
COEUR D ALENE, ID
NPI
1306468483
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID 60645)
Enumeration Date
2020-05-12
Last Update Date
2020-05-12
Business Address
KELLI ANN GRAMBEAU APRN
110 E WALLACE AVE
COEUR D ALENE, ID 83814-2948
Phone number: 208-853-0707
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Mailing Address
KELLI ANN GRAMBEAU APRN
519 S 11TH ST
COEUR D ALENE, ID 83814-3805
Phone number: 904-307-9195
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