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1962711275
SUSAN JEAN TIETJEN
OGDEN, UT
NPI
1962711275
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174H00000X Health Educator
(Licence: CA 19010616)
Enumeration Date
2010-10-04
Last Update Date
2010-10-04
Business Address
SUSAN JEAN TIETJEN RN, IBCLC
5475 S 500 E
OGDEN, UT 84405-6905
Phone number: 801-479-2111
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Mailing Address
SUSAN JEAN TIETJEN RN, IBCLC
4430 S 2750 W
ROY, UT 84067-8954
Phone number: 801-732-2172
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