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1104847847
PERRY J OLSON
DETROIT, MI
NPI
1104847847
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MI 364544473)
Enumeration Date
2006-07-21
Last Update Date
2013-01-08
Business Address
-- PERRY J OLSON P.A.-C.
20400 W WARREN AVE
DETROIT, MI 48228-3242
Phone number: 313-271-0500
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Mailing Address
-- PERRY J OLSON P.A.-C.
23161 BRITNER CT
BINGHAM FARMS, MI 48025-4707
Phone number: 248-988-8227
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