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Individual

DR. GARY D OLSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
12433 FORT ST, DRAPER, UT 84020-9363
(801) 576-1086
(801) 576-9796
Mailing address
12433 FORT ST, DRAPER, UT 84020-9363
(801) 576-1086
(801) 576-9796

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1756771202
UT

Other

Enumeration date
12/01/2005
Last updated
12/12/2011
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