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Individual

MR. GREG ELLSWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
645 PARFET ST, LAKEWOOD, CO 80215-5574
(303) 239-7138
Mailing address
645 PARFET ST, LAKEWOOD, CO 80215-5574
(303) 239-7138

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
0202678
CO

Other

Enumeration date
10/22/2019
Last updated
10/22/2019
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