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Individual
CHANTEL NICOLE GARCIA TARBETT
Active
Individual
CHANTEL NICOLE GARCIA TARBETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OEG002650
PA
152WC0802X
Corneal and Contact Management Optometrist
Primary
2409
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2409
NC LICENSE
NC
01
—
OEG002650
LICENSE
PA
Enumeration date
07/11/2012
Last updated
03/17/2018
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