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1417041591
THEODORE OLSON
SANTA ROSA, CA
NPI
1417041591
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: CA A212232)
Enumeration Date
2006-10-03
Last Update Date
2007-07-08
Business Address
-- THEODORE OLSON M.D.
196 SOTOYOME ST
SANTA ROSA, CA 95405-4800
Phone number: 707-528-0565
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Mailing Address
-- THEODORE OLSON M.D.
1900 UNIVERSITY AVE STE 101
E PALO ALTO, CA 94303-2212
Phone number: 650-494-1000
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