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Organization

BEAN TOTS AND TODDLERS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICK BEAN (OWNER)
(870) 933-1989
Entity
Organization

Contact information

Practice address
1220 STONE ST, JONESBORO, AR 72401-4519
(870) 933-1989
(870) 268-6705
Mailing address
1220 STONE ST, JONESBORO, AR 72401-4519
(870) 933-1989
(870) 268-6705

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000
AR
Enumeration date
09/26/2013
Last updated
09/26/2013
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