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1497868475
DETTLEFF ELMER OLSON
DAYTON, OH
NPI
1497868475
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OH 34-005936)
Enumeration Date
2006-08-16
Last Update Date
2007-07-08
Business Address
MISS DETTLEFF ELMER OLSON D.O.
4100 W 3RD ST
DAYTON, OH 45428-9000
Phone number: 765-973-6915
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Mailing Address
MISS DETTLEFF ELMER OLSON D.O.
405 VALLEYVIEW DR
ENGLEWOOD, OH 45322-1313
Phone number: 937-836-5597
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