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1669756813
NICHOLE SUZANNE GRIMM
PONDERAY, ID
NPI
1669756813
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID NP-1113A)
Enumeration Date
2011-10-06
Last Update Date
2016-12-21
Business Address
-- NICHOLE SUZANNE GRIMM NP
30544 HIGHWAY 200 STE 101
PONDERAY, ID 83852-5005
Phone number: 208-263-6300
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Mailing Address
-- NICHOLE SUZANNE GRIMM NP
30544 HIGHWAY 200 STE 102
PONDERAY, ID 83852-5005
Phone number: 208-263-6300
Copy
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