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1770557993
BROOKE A TIETSORT
DENVER, CO
NPI
1770557993
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: CO 2000)
Enumeration Date
2006-02-14
Last Update Date
2007-07-08
Business Address
-- BROOKE A TIETSORT PA
4231 W 16TH AVE
DENVER, CO 80204-1335
Phone number: 303-629-3721
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Mailing Address
-- BROOKE A TIETSORT PA
7851 S ELATI ST SUITE 202
LITTLETON, CO 80120-8080
Phone number: 303-759-0854
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