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1083773634
YOUNGSOOK THERESA OLSSON
INDIANAPOLIS, IN
NPI
1083773634
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: IN 71008140)
Enumeration Date
2006-12-08
Last Update Date
2011-03-31
Business Address
-- YOUNGSOOK THERESA OLSSON NP
1701 N SENATE BLVD RM AG 001
INDIANAPOLIS, IN 46202-1239
Phone number: 317-962-3886
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Mailing Address
-- YOUNGSOOK THERESA OLSSON NP
950 N MERIDIAN ST STE 500 PROVIDER ENROLLMENT
INDIANAPOLIS, IN 46204-3908
Phone number: 317-962-4942
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