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1689142002
TONY VICK
TAVARES, FL
NPI
1689142002
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
146L00000X Emergency Medical Technician, Paramedic
(Licence: FL PMD18799)
Enumeration Date
2018-11-03
Last Update Date
2018-11-03
Business Address
TONY VICK PMD, Cer. AT
1000 WATERMAN WAY
TAVARES, FL 32778-5266
Phone number: 352-253-3857
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Mailing Address
TONY VICK PMD, Cer. AT
13326 SEA BREEZE LN
GRAND ISLAND, FL 32735-9203
Phone number:
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