Individual
KEITH ALAN OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6488 AMBER CT, MASON, OH 45040-1179
(513) 255-4313
Mailing address
6488 AMBER CT, MASON, OH 45040-1179
(513) 255-4313
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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