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1760805352
STEPHANIE GRONDAHL
LANSING, MI
NPI
1760805352
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Former Name
STEPHANIE JARNAGIN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: FL UO3557)
Enumeration Date
2014-02-02
Last Update Date
2018-03-17
Business Address
-- STEPHANIE GRONDAHL DO
1200 E MICHIGAN AVE STE 460
LANSING, MI 48912-1897
Phone number: 517-364-2097
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Mailing Address
-- STEPHANIE GRONDAHL DO
6500 38TH AVE N
ST PETERSBURG, FL 33710-1629
Phone number:
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