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Individual
OCTAVIO ANDRES TOBAR
Active
Individual
OCTAVIO ANDRES TOBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AL4196
FL
2255A2300X
Athletic Trainer
Primary
AT003335
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL4196
FLORIDA DEPARTMENT OF HEALTH
FL
01
—
AT003335
SECRETARY OF STATE
GA
Enumeration date
07/19/2017
Last updated
08/20/2018
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