Individual
KRISTEN N OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4731 13TH AVE S, FARGO, ND 58103-7269
(701) 281-2746
Mailing address
1818 52ND ST S, FARGO, ND 58103-7748
(701) 426-7390
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3158
MN
152W00000X
Optometrist
Primary
674
ND
Other
Enumeration date
09/16/2008
Last updated
03/04/2010
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