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Individual

DR. CHRISTOPHER J MOSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DHSC, ATC

Contact information

Practice address
13102 S 50 E, KENTLAND, IN 47951-8540
(219) 474-5167
(219) 474-6592
Mailing address
1104 E GRACE ST, RENSSELAER, IN 47978-3211
(219) 866-5141
(219) 866-3619

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000089A
IN
2255A2300X
Athletic Trainer
AT0000000852
TN

Other

Enumeration date
06/29/2006
Last updated
02/09/2012
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