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1194011551
DAVID UNDERWOOD
EVANSTON, WY
NPI
1194011551
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2011-06-23
Last Update Date
2013-02-06
Business Address
DAVID UNDERWOOD PEER SPECIALIST
1565 HWY 150 S. STE. C
EVANSTON, WY 82930-8752
Phone number: 307-789-4224
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Mailing Address
DAVID UNDERWOOD PEER SPECIALIST
PO BOX 2910
EVANSTON, WY 82930-8752
Phone number: 307-789-4224
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