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Individual
INGRID L OLSEN
Active
Individual
INGRID L OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA11801
CA
Other
Enumeration date
11/28/2006
Last updated
06/22/2009
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