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Individual
JARRED R MONDONEDO
Active
Individual
JARRED R MONDONEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
01099178A
IN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
036.180154
IL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4351046202
MI
Other
Enumeration date
05/21/2020
Last updated
08/27/2026
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