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Individual

PETER NELSON CONNOLLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMP

Contact information

Practice address
195 1ST PL NW, SUITE 1, ISSAQUAH, WA 98027-3285
(206) 227-6329
(425) 391-1174
Mailing address
600 FRONT ST S, B303, ISSAQUAH, WA 98027-4245
(206) 227-6329

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00015725
WA

Other

Enumeration date
02/27/2007
Last updated
10/04/2013
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