Individual
MS. MARY BAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2411 W MAIN ST, JACKSONVILLE, AR 72076-4211
(501) 982-5402
(501) 982-5404
Mailing address
700 E 9TH ST, APT 80, LITTLE ROCK, AR 72202-3978
(501) 537-4213
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
R42049
AR
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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