Leanna Rae Olsen R.N., C.M.T.

NPI 1760525711 - Registered Nurse - 163W00000X

NPI Details
NPI 1760525711
Gender Female
Enumeration Date 02/15/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1500 N. KICKAPOO, SUITE #4
SHAWNEE OK, 74804, US
Phone (405) 214-7700
Fax
Business Location
12 TRENTON CIR
MCLOUD OK, 74851-9512, US
Phone (405) 964-5378
Fax
Toxanomy
Taxonomy Code 163W00000X
License State Oklahoma
License Number R0035490
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According to our database, Ms. Leanna Rae Olsen R.N., C.M.T. NPI is 1760525711, taxonomy code is 163W00000X and license number is R0035490, license state is located at Oklahoma. Leanna Rae Olsen R.N., C.M.T. physically located at 1500 N. Kickapoo, Suite #4, Shawnee OK, 74804. NPI Number Leanna Rae Olsen R.N., C.M.T. has the Individual type.

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1760525711 NPI number is provided on an as is basis without warranty of any kind. 1760525711 is maintained by the National Plan & Provider Enumeration System. The contents of Leanna Rae Olsen R.N., C.M.T. are for informational purposes only.