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Can anyone explain to me whether Jenna's grandmother was a ghost like Jenna was? I suppose she must have been?

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Anita Ledonne I was wondering the same exact thing and then I remembered that Alice said her mother died of cancer before she went to Africa. So maybe she was also a spirit but she is not written as one.I'm confused about that, but I decided to reread the book now that I know the ending.
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by Jodi Picoult (Goodreads Author)
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