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Larry Dean Nycum SR.
Private Vehicle in Millboro, Virginia
NPI 1952893315

Larry Dean Nycum SR. is a Private Vehicle based in Millboro, VA. Larry Dean Nycum SR. practices in Millboro, VA. The NPI Number for Larry Dean Nycum SR. is 1952893315 and holds a License No. (Virginia).

The current practice location address for Larry Dean Nycum SR. is 5918 Cowpasture River Hwy, Millboro, VA and can be reached out via phone at 540-460-0869.

Location: 5918 Cowpasture River Hwy, Millboro, VA, 24460-2490
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952893315
Provider Name
Larry Dean Nycum SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
5918 Cowpasture River Hwy, Millboro, VA, 24460-2490
Phone Number
540-460-0869
Fax Number
Provider Enumeration Date
06/01/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5918 Cowpasture River Hwy
City
Millboro
State
Virginia
Zip
24460-2490
Phone Number
540-460-0869
Fax Number
person
Provider Business Mailing Address Details
Address
5918 Cowpasture River Hwy
City
Millboro
State
Virginia
Zip
24460-2490
Phone Number
540-460-0869
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
(Virginia)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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