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Individual

CHANDLER BOGGS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1114 W COOK RD, FORT WAYNE, IN 46825-3214
(260) 483-5588
Mailing address
1103 FALCON CREEK PKWY, FORT WAYNE, IN 46845-9044
(260) 797-8123
(260) 489-1819

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08003209A
IN

Other

Enumeration date
01/11/2021
Last updated
07/12/2022
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