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1104370493
CASEY REXROAT
MONMOUTH, IL
NPI
1104370493
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
146N00000X Emergency Medical Technician, Basic
(Licence: IL 001059393)
Enumeration Date
2016-08-04
Last Update Date
2016-08-04
Business Address
CASEY REXROAT
601 INDUSTRIAL PARK RD
MONMOUTH, IL 61462-9796
Phone number: 309-734-8428
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Mailing Address
CASEY REXROAT
1112 E FRANKLIN AVE
MONMOUTH, IL 61462-1464
Phone number:
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