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Mickoyan Poole, PA-C
NPI 1316201734 · on the registry since 2012 · sole proprietor
Practice
- Address
- 425 E Foothill Blvd
Rialto, CA 92376 - Phone
- (909) 546-1005
- Fax
- (909) 546-1061
- Organisation at this address
- San Marcos Medical Group, Inc.
Central Neighborhood Health Foundation - RialtoInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-02-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California