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Mr. Michael Vernon Davis I
Driver in Mattoon, Illinois
NPI 1962064691

Michael Vernon Davis I is a Driver based in Mattoon, IL. Michael Vernon Davis I practices in Mattoon, IL. The NPI Number for Michael Vernon Davis I is 1962064691 and holds a License No. (Illinois).

The current practice location address for Michael Vernon Davis I is 502 W Park Plz, Mattoon, IL and can be reached out via phone at 217-234-3222.

Location: 502 W Park Plz, Mattoon, IL, 61938-3639
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962064691
Provider Name
Michael Vernon Davis I
Credential
Provider Entity Type
Individual
Gender
Male
Address
502 W Park Plz, Mattoon, IL, 61938-3639
Phone Number
217-234-3222
Fax Number
Provider Enumeration Date
07/02/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
502 W Park Plz
City
Mattoon
State
Illinois
Zip
61938-3639
Phone Number
217-234-3222
Fax Number
person
Provider Business Mailing Address Details
Address
502 W Park Plz
City
Mattoon
State
Illinois
Zip
61938-3639
Phone Number
217-234-3222
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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