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1023061074
LAURA ELIZABETH TIETJEN
GLENDALE, AZ
NPI
1023061074
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ 6773)
Enumeration Date
2006-05-19
Last Update Date
2010-10-18
Business Address
-- LAURA ELIZABETH TIETJEN MPT OCS
20325 N 51ST AVE STE 146
GLENDALE, AZ 85308-5674
Phone number: 623-249-3216
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Mailing Address
-- LAURA ELIZABETH TIETJEN MPT OCS
12917 W CAMPBELL AVE
LITCHFIELD PARK, AZ 85340-5183
Phone number: 253-228-6828
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