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1477062693
INGRID M OLSSON
POMONA, CA
NPI
1477062693
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NH 1516)
Enumeration Date
2017-09-20
Last Update Date
2021-12-16
Business Address
INGRID M OLSSON PA-C
255 E BONITA AVE BLDG 9
POMONA, CA 91767-1923
Phone number: 909-301-8897
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Mailing Address
INGRID M OLSSON PA-C
11100 4TH ST APT G306
RANCHO CUCAMONGA, CA 91730-0909
Phone number: 603-718-4179
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