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1467420695
PATRICE CATHRYN GRODELL
JACKSONVILLE, FL
NPI
1467420695
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9101089)
Enumeration Date
2006-03-14
Last Update Date
2007-12-05
Business Address
Ms. PATRICE CATHRYN GRODELL PA
655 W 8TH ST UFJP NEONATOLOGY DEPT
JACKSONVILLE, FL 32209-6511
Phone number: 904-244-5100
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Mailing Address
Ms. PATRICE CATHRYN GRODELL PA
PO BOX 44008 UFJP PROVIDER ENROLLMENT
JACKSONVILLE, FL 32231-4008
Phone number: 904-244-3199
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