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THOMAS COLEMAN VICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6231 MUNICIPAL PARK DR, LOXLEY, AL 36551-3147
(251) 271-1179
Mailing address
6231 MUNICIPAL PARK DR, LOXLEY, AL 36551-3147
(251) 271-1179

Taxonomy

Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary

Other

Enumeration date
07/21/2022
Last updated
07/21/2022
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