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Individual
MRS. TESSA BUTLER COBUCCI
Active
Individual
MRS. TESSA BUTLER COBUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
RN207289
GA
363LF0000X
Family Nurse Practitioner
Primary
RN207289
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023045663
08BCBFD
GA
Enumeration date
06/05/2018
Last updated
08/13/2018
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