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Individual

DAMONE LUSHON POOLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA,MPA,NHA

Contact information

Practice address
2600 MACDONALD AVE, RICHMOND, CA 94804-1826
(510) 236-8484
(510) 235-8650
Mailing address
1126 REGATTA PT, HERCULES, CA 94547-2607
(510) 741-8038
(510) 235-8650

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA15735
CA

Other

Enumeration date
05/17/2007
Last updated
07/08/2007
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