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1457448821
MICHAEL THOMAS MUNGOVAN
FORT WAYNE, IN
NPI
1457448821
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: IN 08001044)
Enumeration Date
2006-10-06
Last Update Date
2019-05-29
Business Address
MR. MICHAEL THOMAS MUNGOVAN DC
4705 ILLINOIS RD STE 102
FORT WAYNE, IN 46804-5108
Phone number: 260-447-1067
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Mailing Address
MR. MICHAEL THOMAS MUNGOVAN DC
4705 ILLINOIS RD SUITE 102
FORT WAYNE, IN 46804-5114
Phone number: 260-447-1067
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