Harley Grant

NPI #1033608302 in Cheyenne, Wyoming

Provider Information

NPI Number: 1033608302
Entity Type: Individual
Name: Harley Grant
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Enumeration Date: May 2, 2018
Last Updated: May 2, 2018

Practice Location

Address: 4514 LARAMIE ST
City: Cheyenne
State: Wyoming
ZIP Code: 82001-2154
Phone: (307) 638-8182

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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