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Individual
NICHOLAS PETE POOLOS
Active
Individual
NICHOLAS PETE POOLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
Primary
MD00040556
WA
2084N0400X
Neurology Physician
MD00040556
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0231876
L&I
WA
05
—
1205916277
—
WA
01
—
284420
INTERNAL ID-MOTOR VEHICLE ID
—
Enumeration date
10/16/2006
Last updated
12/18/2024
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