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Individual
NATHAN CARMAN TIRABASSI
Active
Individual
NATHAN CARMAN TIRABASSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD305009
GA
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/26/2014
Last updated
06/14/2024
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