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VELMA TYCE

Other Service Providers Driver

Provider NPI: 1073061958

Provider Information:
 VELMA  TYCE 
Gender: F
Sole Proprietor

Practice Location:
517 LIBERTY ST  SOUTH BEND, IN 46619-3138 US
Tel: 574-383-7072  Fax: --

Business Mailing Address:
517 LIBERTY ST  SOUTH BEND, IN 46619-3138 US
Tel: 574-383-7072  Fax: --

NPI Information:
NPI: 1073061958
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y172A00000XOther Service Providers
Driver

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 172A00000X

Type:

Classification:



Definition:



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