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1376984054
GROVER LOUIS WRAY
IDAHO FALLS, ID
NPI
1376984054
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: ID 690)
Enumeration Date
2013-07-10
Last Update Date
2013-07-10
Business Address
MR. GROVER LOUIS WRAY LMSW
2222 TETON PLZ STE 2
IDAHO FALLS, ID 83404-6485
Phone number: 208-522-4026
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Mailing Address
MR. GROVER LOUIS WRAY LMSW
3440 E 200 N
RIGBY, ID 83442-5400
Phone number: 208-754-4913
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