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Individual

GILLIAN BRAUTIGAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
1635 AURORA CT, AURORA, CO 80045-2541
(720) 848-1060
Mailing address
13120 E 19TH AVE # C288-5, AURORA, CO 80045-2567
(720) 848-1060

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
209011430
IL
367A00000X
Advanced Practice Midwife
Primary
APN.0993300-CNM
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
209011430
STATE OF ILLINOIS
IL
Enumeration date
04/02/2014
Last updated
03/17/2018
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