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Individual

MS. CHRISTINE M OLSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
8713 W ELMORE AVE, MILWAUKEE, WI 53222-2842
(414) 466-7751
Mailing address
8713 W ELMORE AVE, MILWAUKEE, WI 53222-2842
(414) 466-7751

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
16300-031
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39954000
WI
Enumeration date
01/27/2007
Last updated
07/09/2007
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