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1396034245
MIDWEST EMERGENCY CENTRALIA CAMPUS ASSOCIATES, INC
CENTRALIA, IL
NPI
1396034245
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Entity Type
Organization
Authorized Contact
WILLIAM W CRUZEN
President
817-451-4208
Organization Subpart ?
No
Primary Taxonomy
207P00000X Emergency Medicine
Enumeration Date
2011-03-31
Last Update Date
2012-10-30
Business Address
MIDWEST EMERGENCY CENTRALIA CAMPUS ASSOCIATES, INC
400 NORTH PLEASANT AVENUE
CENTRALIA, IL 62801-3056
Phone number: 817-451-4208
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Mailing Address
MIDWEST EMERGENCY CENTRALIA CAMPUS ASSOCIATES, INC
6451 BRENTWOOD STAIR ROAD SUITE 202
FORT WORTH, TX 76112-3200
Phone number: 817-451-4208
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