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1831973064
MIRIAH JEAN GRAYBILL
TWIN FALLS, ID
NPI
1831973064
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID 77319)
Enumeration Date
2023-08-21
Last Update Date
2023-10-26
Business Address
MIRIAH JEAN GRAYBILL
625 POLE LINE RD W STE 2A
TWIN FALLS, ID 83301-4270
Phone number: 208-814-8600
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Mailing Address
MIRIAH JEAN GRAYBILL
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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