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Individual

MRS. JOAN A MCLEAN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
104 E 16TH ST, HOPE, AR 71801-7424
(870) 777-0007
(870) 777-0061
Mailing address
104 E 16TH ST, HOPE, AR 71801-7424
(870) 777-0007
(870) 777-0061

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
A01251 ANP
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5C874
ARKANSAS BCBS
AR
01
P00194875
PALAMETTO RETIRED RAILROA
AR
Enumeration date
10/29/2005
Last updated
07/09/2007
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