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Individual

TIM MARVIN CABABA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRT, RCP

Contact information

Practice address
115 E MAIN ST OFC, WILLIAMSTON, NC 27892-2492
(252) 792-1659
(252) 792-2043
Mailing address
PO BOX 1041, WILLIAMSTON, NC 27892-1041
(252) 792-1659
(252) 792-2043

Taxonomy

Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7492749
NC
Enumeration date
04/08/2009
Last updated
07/02/2009
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