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1619243151
JEANETTE A OLSON
BOISE, ID
NPI
1619243151
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: ID OTA-1088)
Enumeration Date
2012-03-29
Last Update Date
2012-03-29
Business Address
MRS. JEANETTE A OLSON COTA/L
909 RESERVE ST.
BOISE, ID 83712
Phone number: 208-343-7717
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Mailing Address
MRS. JEANETTE A OLSON COTA/L
4560 SE INTERNATIONAL WAY STE. 100
MILWAUKIE, OR 97222
Phone number: 971-206-5200
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