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1992950075
ELIZABETH A GRAY
MERIDIAN, ID
NPI
1992950075
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LX0106X Nurse Practitioner, Occupational Health
(Licence: ID NP-440A)
Enumeration Date
2008-11-17
Last Update Date
2013-01-23
Business Address
Mrs. ELIZABETH A GRAY NP
520 S EAGLE RD 2213
MERIDIAN, ID 83642-6308
Phone number: 208-706-5447
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Mailing Address
Mrs. ELIZABETH A GRAY NP
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-850-9393
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MMG LLC