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1972100899
SAM DAVIS
GREELEY, CO
NPI
1972100899
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2020-10-04
Last Update Date
2020-10-04
Business Address
SAM DAVIS
1300 N 17TH AVE
GREELEY, CO 80631-9584
Phone number: 970-347-2120
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Mailing Address
SAM DAVIS
1300 N 17TH AVE
GREELEY, CO 80631-9584
Phone number: 970-347-2120
Copy
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