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1255974291
GREG ELLSWORTH
LAKEWOOD, CO
NPI
1255974291
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WC1500X Registered Nurse, Community Health
(Licence: CO 0202678)
Enumeration Date
2019-10-22
Last Update Date
2019-10-22
Business Address
Mr. GREG ELLSWORTH RN
645 PARFET ST
LAKEWOOD, CO 80215-5574
Phone number: 303-239-7138
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Mailing Address
Mr. GREG ELLSWORTH RN
645 PARFET ST
LAKEWOOD, CO 80215-5574
Phone number: 303-239-7138
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