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1821231507
JANA VANDEGRIFT MOHASSEL
FREDERICK, MD
NPI
1821231507
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: MD D0073806)
Enumeration Date
2009-04-10
Last Update Date
2014-03-07
Business Address
JANA VANDEGRIFT MOHASSEL
1475 TANEY AVE STE 201
FREDERICK, MD 21702-5126
Phone number: 301-662-1930
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Mailing Address
JANA VANDEGRIFT MOHASSEL
2706 CHESWOLDE RD
BALTIMORE, MD 21209-3929
Phone number: 410-948-7615
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