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1144429507
TONY WAYNE LYLE
KINGS BAY, GA
NPI
1144429507
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2007-07-16
Last Update Date
2007-07-16
Business Address
Mr. TONY WAYNE LYLE NAVY IDC
1061 USS TENNESSEE AVE
KINGS BAY, GA 31547
Phone number: 912-573-4540
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Mailing Address
Mr. TONY WAYNE LYLE NAVY IDC
136 LAKE VICTORIA DR.
KINGSLAND, GA 31548
Phone number: 912-322-8352
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