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Individual

CHARLES OLSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
63 TAYLOR AVE, CROSSVILLE, TN 38555-4567
(931) 250-5488
(931) 250-5667
Mailing address
63 TAYLOR AVE, CROSSVILLE, TN 38555-4567
(931) 250-5488
(931) 250-5667

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
20065
TN

Other

Enumeration date
07/15/2015
Last updated
12/09/2024
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