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Individual

GREGG ALLEN WHELEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
438 S ALCOTT, DENVER, CO 80219
(303) 935-2822
Mailing address
438 S ALCOTT, DENVER, CO 80219
(303) 935-2822

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL0262
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
67431526
CO
Enumeration date
06/21/2007
Last updated
07/08/2007
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