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1194765909
RITA A PRATER CROUCH
DECATUR, IL
NPI
1194765909
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: IL 209-000381)
Enumeration Date
2006-06-08
Last Update Date
2007-07-08
Business Address
-- RITA A PRATER CROUCH CRNA
1800 E LAKE SHORE DR
DECATUR, IL 62521-3810
Phone number: 217-464-2966
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Mailing Address
-- RITA A PRATER CROUCH CRNA
820 W PERSHING RD
DECATUR, IL 62526-1538
Phone number: 217-875-5057
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