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1629367578
MIDWEST EMERGENCY GOOD SAMARITAN, INC
MOUNT VERNON, IL
NPI
1629367578
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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
2011-03-31
Business Address
MIDWEST EMERGENCY GOOD SAMARITAN, INC
605 N 12TH ST
MOUNT VERNON, IL 62864-2857
Phone number: 817-451-4208
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Mailing Address
MIDWEST EMERGENCY GOOD SAMARITAN, INC
6451 BRENTWOOD STAIR ROAD SUITE 202
FORT WORTH, TX 76112-3200
Phone number: 817-451-4208
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