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1255586889
BRENT C OLSON
TACOMA, WA
NPI
1255586889
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA10004108)
Enumeration Date
2008-11-24
Last Update Date
2019-09-16
Business Address
Mr. BRENT C OLSON PA-C
9040 REID ST
TACOMA, WA 98431-1100
Phone number: 253-968-0433
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Mailing Address
Mr. BRENT C OLSON PA-C
9040 JACKSON AVE
TACOMA, WA 98431-1100
Phone number: 253-968-0433
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