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1851857833
KEON IDRIS GRIFFIE
FERGUS FALLS, MN
NPI
1851857833
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP136967)
Enumeration Date
2019-02-14
Last Update Date
2019-02-14
Business Address
Mr. KEON IDRIS GRIFFIE FNP
712 S CASCADE ST
FERGUS FALLS, MN 56537-2913
Phone number: 903-691-3694
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Mailing Address
Mr. KEON IDRIS GRIFFIE FNP
7 TIMBERLANE ST
TEXARKANA, TX 75501-9521
Phone number: 903-691-3694
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