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Individual
PETER G. WILCOX
Active
Individual
PETER G. WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP60470374
WA
363LG0600X
Gerontology Nurse Practitioner
Primary
AP60470374
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2038792
—
WA
Enumeration date
06/21/2014
Last updated
01/18/2021
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