| NPI | 1669510509 |
|---|---|
| Doing Business As | MOSSER'S SHOES |
| Entity Type | Organization |
| Authorized Contact | CHANDRA D COFFEE Management Services Coordinator 217-351-5022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171W00000X Contractor (Licence: IL 37681893) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2008-08-01 |