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Individual

DR. JAMES G MONDO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1310 HIGHWAY 96 E, SUITE #102, WHITE BEAR LAKE, MN 55110-3624
(651) 429-0304
(651) 429-8326
Mailing address
1310 HIGHWAY 96 E, SUITE #102, WHITE BEAR LAKE, MN 55110-3624
(651) 429-0304
(651) 429-8326

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1221
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26186MO
BCBS
MN
Enumeration date
09/29/2006
Last updated
07/08/2007
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