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1508537655
FORREST DAVID HAYWORTH
GREELEY, CO
NPI
1508537655
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2021-09-27
Last Update Date
2021-09-27
Business Address
FORREST DAVID HAYWORTH
928 12TH ST
GREELEY, CO 80631-4024
Phone number: 970-347-2120
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Mailing Address
FORREST DAVID HAYWORTH
1300 N 17TH AVE
GREELEY, CO 80631-9584
Phone number: 970-347-2120
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