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1548870157
JESSIKAH GROSSMAN MANGANELLO
SMITHFIELD, NC
NPI
1548870157
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: NC 2105117)
Enumeration Date
2020-08-07
Last Update Date
2021-01-27
Business Address
JESSIKAH GROSSMAN MANGANELLO
1660 E BOOKER DAIRY RD
SMITHFIELD, NC 27577-9405
Phone number: 919-560-2000
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Mailing Address
JESSIKAH GROSSMAN MANGANELLO
1660 E BOOKER DAIRY RD
SMITHFIELD, NC 27577-9405
Phone number:
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