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Individual

CHRISTOPHER BAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
SHIFT SUPERVISORMHPP

Contact information

Practice address
706 N BROWN ST, CLARKSVILLE, AR 72830-2732
(479) 705-1301
Mailing address
PO BOX 1589, BENTON, AR 72018-1589
(501) 315-3344

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
AR

Other

Enumeration date
06/16/2008
Last updated
06/20/2011
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