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1245684398
LANCE DONAVAN OLDMAN
ARAPAHOE, WY
NPI
1245684398
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2016-04-14
Last Update Date
2016-04-14
Business Address
-- LANCE DONAVAN OLDMAN
#24 GREAT PLAINS ROAD
ARAPAHOE, WY 82510
Phone number: 307-856-0470
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Mailing Address
-- LANCE DONAVAN OLDMAN
POST OFFICE BOX 190
ST. STEPHENS, WY 82501
Phone number: 307-856-0470
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