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Individual
PAUL D COULTER
Active
Individual
PAUL D COULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO00000487
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00039598
LABOR & INDUSTRY
WA
05
—
1084417
—
WA
01
—
CO3197
BLUE SHIELD
WA
01
—
US4528964
AETNA/USHC SPECIALIST
WA
Enumeration date
07/10/2006
Last updated
01/26/2015
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