# MR. JEFFREY GROSSER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1134539380
- **Gender:** Man
- **Credential:** MHS, HO, REHS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/28/2014
- **Last updated:** 04/28/2014