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1154533354
MUNGOVAN CHIROPRACTIC PC
FORT WAYNE, IN
NPI
1154533354
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Entity Type
Organization
Authorized Contact
MICHAEL THOMAS MUNGOVAN
Owner
260-447-1067
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: IN 08001044)
Enumeration Date
2007-05-03
Last Update Date
2013-04-09
Business Address
MUNGOVAN CHIROPRACTIC PC
4705 ILLINOIS RD STE 102
FORT WAYNE, IN 46804-5108
Phone number: 260-447-1067
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Mailing Address
MUNGOVAN CHIROPRACTIC PC
4705 ILLINOIS RD STE 102
FORT WAYNE, IN 46804-5108
Phone number: 260-447-1067
Copy
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