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Individual

ALEXA R OLSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BS

Contact information

Practice address
7209 ENGLE RD STE 200, FORT WAYNE, IN 46804-2238
(260) 484-4600
(260) 484-4002
Mailing address
10100 ELIDA RD, DELPHOS, OH 45833-9056
(419) 695-8010
(419) 695-0004

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
07/15/2020
Last updated
07/15/2020
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