HARLEY GRANT

CHEYENNE, WY
NPI1033608302
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2018-05-02
Last Update Date2018-05-02
Business Address
HARLEY GRANT
4514 LARAMIE ST
CHEYENNE, WY 82001-2154
Phone number: 307-638-8182
Mailing Address
HARLEY GRANT
510 W 29TH ST
CHEYENNE, WY 82001-2760
Phone number: 307-426-4728
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