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1225120108
LESLIE E. GRISSOM
WILMINGTON, DE
NPI
1225120108
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2085P0229X Radiology Pediatric Radiology
(Licence: DE C10002480)
Enumeration Date
2006-09-29
Last Update Date
2013-02-04
Business Address
DR. LESLIE E. GRISSOM MD
1600 ROCKLAND RD
WILMINGTON, DE 19803-3607
Phone number: 302-651-4000
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Mailing Address
DR. LESLIE E. GRISSOM MD
PO BOX 191 PROVIDER ENROLLMENT DEPT
ROCKLAND, DE 19732-0191
Phone number: 302-651-6212
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