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Individual

TRENT D MOZINGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
3780 W JONATHAN MOORE PIKE STE 160, COLUMBUS, IN 47201-9430
(812) 569-5685
Mailing address
1899 N COUNTY ROAD 950 W, HOLTON, IN 47023-8483
(812) 569-5685

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002618A
IN

Other

Enumeration date
01/30/2012
Last updated
01/30/2012
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