Individual
KEEGAN THOMAS GURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4332 FLAGSTAFF CV, FORT WAYNE, IN 46815-4416
(260) 245-0460
Mailing address
4332 FLAGSTAFF CV, FORT WAYNE, IN 46815-4416
(260) 245-0460
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08003249A
IN
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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