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Individual
JACQUELINE M GRUPP-PHELAN
Active
Individual
JACQUELINE M GRUPP-PHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
G149165
CA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
35-07-4439
OH
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
G149165
CA
Other
Enumeration date
06/28/2006
Last updated
05/11/2026
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