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1831156629
DEBBIE L GRISSOM
BOISE, ID
NPI
1831156629
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207VX0000X Obstetrics & Gynecology, Obstetrics
(Licence: ID m9540)
Enumeration Date
2006-04-27
Last Update Date
2013-10-30
Business Address
-- DEBBIE L GRISSOM MD
100 E IDAHO ST SUITE 302
BOISE, ID 83712-6267
Phone number: 208-343-7501
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Mailing Address
-- DEBBIE L GRISSOM MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-343-7501
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