Individual
MRS. GALE E BACAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1703 MONROE AVE, MOUNTAIN HOME, AR 72653
(870) 421-5189
Mailing address
1703 MONROE AVE, MOUNTAIN HOME, AR 72653
(870) 421-5189
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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