Individual
MAURA KATHLEEN OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3310 FIELDS SOUTH DR, CHAMPAIGN, IL 61822-3741
(217) 417-2352
Mailing address
7 GOLDFINCH CT, SAVOY, IL 61874-9404
(217) 417-2352
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041385321
IL
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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