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Individual
JANELLE M GROSSMAN
Active
Individual
JANELLE M GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
5005957
NC
363LF0000X
Family Nurse Practitioner
5005957
NC
Other
Enumeration date
11/19/2012
Last updated
12/14/2021
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