Individual
MARY LOUISE OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
700 CEDAR ST, #44, ALEXANDRIA, MN 56308-1769
(320) 491-4052
Mailing address
5565 COUNTY ROAD 34 NW, ALEXANDRIA, MN 56308-9702
(320) 491-4052
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6003
MN
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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