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1720451230
MELISSA GRYDER
BOISE, ID
NPI
1720451230
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-11-05
Last Update Date
2015-11-05
Business Address
MELISSA GRYDER
1276 W RIVER ST
BOISE, ID 83702-7066
Phone number: 208-338-4699
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Mailing Address
MELISSA GRYDER
PO BOX 8516
BOISE, ID 83707-2516
Phone number: 208-703-4750
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