Individual
MRS. TAWNY ALESE OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
106 NORTH 4TH AVENUE, FERGUS FALLS, MN 56537-1034
(218) 998-3778
(218) 998-3187
Mailing address
204 RENO AVE N., CANBY, MN 56220
(507) 223-5843
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L059880-0
MN
Other
Enumeration date
11/07/2008
Last updated
11/07/2008
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