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1477529915
KEVIN ROY POOLE
PLEASANT PRAIRIE, WI
NPI
1477529915
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 7400)
Enumeration Date
2006-02-24
Last Update Date
2023-10-19
Business Address
KEVIN ROY POOLE PA-C
12500 AURORA DR
PLEASANT PRAIRIE, WI 53158-1227
Phone number: 262-857-5000
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Mailing Address
KEVIN ROY POOLE PA-C
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number: 262-857-5000
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