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Individual

MR. CHAD ALLEN JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RT(R)

Contact information

Practice address
3614 SAINT JOE CENTER RD, FORT WAYNE, IN 46835-2135
(260) 312-0438
Mailing address
3614 SAINT JOE CENTER RD, FORT WAYNE, IN 46835-2135

Taxonomy

Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
10-121-12290
KY
247100000X
Radiologic Technologist
Primary
XT016407
IN

Other

Enumeration date
07/17/2008
Last updated
07/17/2008
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