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AMY OLSON LM, CPM

>> Midwife >> Other Service Providers

Registrant NPI Number: 1780032995

Individual Registrant:
 AMY  OLSON LM, CPM
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1517 W GUN SMOKE DR  BLUFFDALE, UT 84065-5187 US
Tel: 702-505-4575  Fax: --

Contact information for business:
1517 W GUN SMOKE DR  BLUFFDALE, UT 84065-5187 US
Tel: 702-505-4575  Fax: --

Registration Information:
NPI: 1780032995
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y176B00000XOther Service Providers
Midwife
UT10612902-3400

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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