Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Dewaine Allen Olson Jr.

Individual provider Independent Duty Medical Technicians · NPI 1720210248

Mr. Dewaine Allen Olson Jr. is an Independent Duty Medical Technicians in Peterson AFB, Colorado. Registered with an NPI since 2009.

In the registry since
2009
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Practice location Address checks out

559 Vincent St
Peterson AFB, CO 80914
Phone: (719) 474-3862
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Medical Technicians (primary) Taxonomy 1710I1003X

Record details

NPI number1720210248
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 17, 2009
Last updated in NPPESAugust 17, 2009

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