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1932180361
JOHN R OLSEN
FORT SAM HOUSTON, TX
NPI
1932180361
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
2085R0204X Radiology Vascular & Interventional Radiology
(Licence: PA MD041023E)
Enumeration Date
2005-11-11
Last Update Date
2007-07-08
Business Address
DR. JOHN R OLSEN M.D.
3851 ROGER BROOKE DR MCHE-QD (CREDENTIALS)
FORT SAM HOUSTON, TX 78234-4501
Phone number: 210-916-4143
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Mailing Address
DR. JOHN R OLSEN M.D.
639 ELIZABETH RD
SAN ANTONIO, TX 78209-6134
Phone number: 210-828-2021
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