LANCE DONAVAN OLDMAN

ARAPAHOE, WY
NPI1245684398
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2016-04-14
Last Update Date2016-04-14
Business Address
-- LANCE DONAVAN OLDMAN
#24 GREAT PLAINS ROAD
ARAPAHOE, WY 82510
Phone number: 307-856-0470
Mailing Address
-- LANCE DONAVAN OLDMAN
POST OFFICE BOX 190
ST. STEPHENS, WY 82501
Phone number: 307-856-0470