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Individual
DR. DAWN C OLENJACK
Active
Individual
DR. DAWN C OLENJACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006462
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110100
BLUE CROSS BLUE SHIELD
MO
Enumeration date
07/14/2005
Last updated
07/08/2007
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