Individual
MR. EDWARD OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
405 BENJAMIN ST, CLEARFIELD, PA 16830-2674
(814) 553-5300
Mailing address
405 BENJAMIN ST, CLEARFIELD, PA 16830-2674
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
PA007308
PA
Other
Enumeration date
05/21/2015
Last updated
05/21/2015
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