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Individual

MRS. RUBY M OLSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
415 SE 177TH AVE, VANCOUVER, WA 98683-4201
(360) 991-1342
Mailing address
2200 SE 146TH AVE, VANCOUVER, WA 98683-8434
(360) 991-1342
(360) 397-0139

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA00020683
WA

Other

Enumeration date
07/31/2008
Last updated
07/31/2008
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