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Individual
DR. SUSAN BENNETT OLSON
Active
Individual
DR. SUSAN BENNETT OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
207SC0300X
Clinical Cytogenetics Physician
Primary
870271
OR
207SG0205X
Ph.D. Medical Genetics Physician
870271
OR
Other
Enumeration date
04/28/2006
Last updated
08/17/2007
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