JONATHON OLESEN

PORTLAND, ME
NPI1316378581
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: ME  AT454)
Enumeration Date2013-12-12
Last Update Date2013-12-12
Business Address
JONATHON OLESEN ATC
33 SEWALL ST
PORTLAND, ME 04102-2603
Phone number: 207-828-2100
Mailing Address
JONATHON OLESEN ATC
10 COPLEY WOODS CIR
PORTLAND, ME 04103-4324
Phone number: 207-838-4506
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