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1467887570
KEVIN WILLIAM CASEY
NORMAL, IL
NPI
1467887570
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096002782)
Enumeration Date
2013-09-08
Last Update Date
2013-09-08
Business Address
-- KEVIN WILLIAM CASEY ATC/L
2000 N LINDEN ST B107
NORMAL, IL 61761-5321
Phone number: 309-530-4741
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Mailing Address
-- KEVIN WILLIAM CASEY ATC/L
2000 N LINDEN ST B107
NORMAL, IL 61761-5321
Phone number: 309-530-4741
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