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Brian David Vaughn
Driver in Bourbonnais, Illinois
NPI 1750092276

Brian David Vaughn is a Driver based in Bourbonnais, IL. Brian David Vaughn practices in Bourbonnais, IL. The NPI Number for Brian David Vaughn is 1750092276 and holds a License No. CK72961 (Illinois).

The current practice location address for Brian David Vaughn is 1671 Greenbriar Dr, Bourbonnais, IL and can be reached out via phone at 815-216-1599.

Location: 1671 Greenbriar Dr, Bourbonnais, IL, 60914-5093
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750092276
Provider Name
Brian David Vaughn
Credential
Provider Entity Type
Individual
Gender
Male
Address
1671 Greenbriar Dr, Bourbonnais, IL, 60914-5093
Phone Number
815-216-1599
Fax Number
Provider Enumeration Date
12/06/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1671 Greenbriar Dr
City
Bourbonnais
State
Illinois
Zip
60914-5093
Phone Number
815-216-1599
Fax Number
person
Provider Business Mailing Address Details
Address
1671 Greenbriar Dr
City
Bourbonnais
State
Illinois
Zip
60914-5093
Phone Number
815-216-1599
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
CK72961 (Illinois)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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