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Individual
EMILY MARIE GROSSELL
Active
Individual
EMILY MARIE GROSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
6348985-1205
UT
2084P0800X
Psychiatry Physician
6348985-1205
UT
2084P0804X
Child & Adolescent Psychiatry Physician
6348985-1205
UT
Other
Enumeration date
10/03/2007
Last updated
10/03/2007
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