SAMUEL DEWAYNE OLDHAM

CANNON AFB, NM
NPI1043517089
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: AL  1980)
Enumeration Date2011-02-25
Last Update Date2024-02-21
Business Address
SAMUEL DEWAYNE OLDHAM PsyD
224 W. D.L. INGRAM AVE, BLDG 1408
CANNON AFB, NM 88103
Phone number: 575-904-3917
Mailing Address
SAMUEL DEWAYNE OLDHAM PsyD
224 W. D.L. INGRAM AVE, BLDG 1408
CANNON AFB, NM 88103
Phone number: 575-904-3917
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