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Individual

JACOB N CLENDENON

Active
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Individual

JACOB N CLENDENON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
56155-20
WI
204F00000X
Transplant Surgery Physician
ME145251
FL

Other

Enumeration date
04/30/2009
Last updated
02/17/2021
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