Individual
DEBRA MOLLIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
2079 EDGEWATER DR, PEKIN, IL 61554
(309) 382-2006
(309) 382-2007
Mailing address
587 E COURT ST, FARMINGTON, IL 61531-1303
(309) 245-2862
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
—
IL
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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