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1700940434
CHARLES EDWIN OLSON
BREMERTON, WA
NPI
1700940434
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171000000X Military Health Care Provider
(Licence: WA OT60242093)
Enumeration Date
2006-12-20
Last Update Date
2013-08-14
Business Address
Mr. CHARLES EDWIN OLSON CHT
ONE BOONE RD
BREMERTON, WA 98312
Phone number: 360-475-4341
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Mailing Address
Mr. CHARLES EDWIN OLSON CHT
ONE BOONE RD
BREMERTON, WA 98312
Phone number: 360-475-4341
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