Individual
MR. DALE L TRIBOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, COHN-S
Contact information
Practice address
1061 HARMON AVE, STE 1D03, FT STEWART, GA 31314-5604
(912) 435-5101
(912) 435-5009
Mailing address
1061 HARMON AVE, STE 1D03, FT STEWART, GA 31314-5604
(912) 435-5101
(912) 435-5009
Taxonomy
Speciality
Code
Description
License number
State
163WX0106X
Occupational Health Registered Nurse
Primary
RN094051
GA
Other
Enumeration date
07/28/2005
Last updated
11/28/2011
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