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1164722955
STEPHANIE E GROSSO
KANKAKEE, IL
NPI
1164722955
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Former Name
STEHANIE E ORTMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085003934)
Enumeration Date
2010-10-26
Last Update Date
2012-06-05
Business Address
Mrs. STEPHANIE E GROSSO PA-C
375 N WALL ST, SUITE P620
KANKAKEE, IL 60901
Phone number: 815-933-8020
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Mailing Address
Mrs. STEPHANIE E GROSSO PA-C
375 N WALL ST, SUITE P620
KANKAKEE, IL 60901
Phone number: 815-933-8020
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