Individual
MS. KRISTYN LAUREN OLLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
BLDG 248 A MEDDAC, FORT IRWIN, CA 92310
(719) 526-5537
Mailing address
BLDG 248 A MEDDAC, BOX 77, FORT IRWIN, CA 92310
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
06/09/2016
Last updated
02/14/2019
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