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1083131973
CASEY EICHENAUER
DECATUR, IL
NPI
1083131973
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209016261)
Enumeration Date
2017-08-23
Last Update Date
2017-08-23
Business Address
CASEY EICHENAUER NP
330 N WYCKLES RD
DECATUR, IL 62522-1034
Phone number: 217-876-5820
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Mailing Address
CASEY EICHENAUER NP
2300 N EDWARD ST BUSINESS OFFICE
DECATUR, IL 62526
Phone number: 217-876-2256
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