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Individual
THOMAS DALE PONTIUS
Active
Individual
THOMAS DALE PONTIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
528060
CA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
528060
CA
Other
Enumeration date
03/27/2007
Last updated
09/11/2025
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