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Individual

BRADLEY ALLEN OLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
IDMT, NREMT-P, RN

Contact information

Practice address
25 BLACK WASH WAY, HENDERSON, NV 89074-6324
(702) 524-1022
Mailing address
58 RQS/DOSM 10212 SEYMOUR JOHNSON RD, BLDG 10202, APO, AP 89191
(702) 653-3507

Taxonomy

Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary

Other

Enumeration date
05/01/2009
Last updated
02/15/2012
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