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Jennifer Tietsort
NPI 1528442316 · on the registry since 2015 · sole proprietor
Practice
- Address
- 632 Mount Rushmore Rd
Custer, SD 57730 - Phone
- (605) 440-0126
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- SD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-07-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Dakota