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Individual
THOMAS ANTHONY OLSON
Active
Individual
THOMAS ANTHONY OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000028350
NATA BOARD OF CERTIFICATION
—
01
—
3105
MINNESOTA STATE LICENSURE
MN
Enumeration date
11/22/2016
Last updated
01/31/2022
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