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1396151395
JENNIFER GRINAGE
LEWISTON, ID
NPI
1396151395
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: ID PA1175)
Enumeration Date
2014-07-10
Last Update Date
2024-11-14
Business Address
JENNIFER GRINAGE PA-C
222 SOUTHWAY AVE STE C
LEWISTON, ID 83501-2703
Phone number: 208-792-0111
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Mailing Address
JENNIFER GRINAGE PA-C
1200 NORA CREEK RD
TROY, ID 83871-9647
Phone number: 208-792-1011
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