MICHAEL VERNON DAVIS

MATTOON, IL
NPI1962064691
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172A00000X Driver
Enumeration Date2019-07-02
Last Update Date2019-07-02
Business Address
Mr. MICHAEL VERNON DAVIS
502 W PARK PLZ
MATTOON, IL 61938-3639
Phone number: 217-234-3222
Mailing Address
Mr. MICHAEL VERNON DAVIS
502 W PARK PLZ
MATTOON, IL 61938-3639
Phone number: 217-234-3222