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1770056863
RICHARD WYATT HERBST
GREELEY, CO
NPI
1770056863
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-01-10
Last Update Date
2019-01-10
Business Address
RICHARD WYATT HERBST
1407 8TH AVE
GREELEY, CO 80631-4603
Phone number: 970-347-2128
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Mailing Address
RICHARD WYATT HERBST
1300 N 17TH AVE
GREELEY, CO 80631-9584
Phone number: 970-347-2120
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