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1972810554
ABBY LYNN GRAY
BOISE, ID
NPI
1972810554
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LN0000X Nurse Practitioner, Neonatal
(Licence: ID NP-1012A)
Enumeration Date
2010-09-03
Last Update Date
2012-02-01
Business Address
Ms. ABBY LYNN GRAY NNP
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2088
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Mailing Address
Ms. ABBY LYNN GRAY NNP
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2088
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