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Individual

MR. THOMAS A POLLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
1941 DRAHAM RD NE, LACEY, WA 98516-3828
(360) 951-8120
Mailing address
1941 DRAHAM RD NE, LACEY, WA 98516-3828
(360) 951-8120

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
OT00003586
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OT00003586
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
06/05/2013
Last updated
06/05/2013
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