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1245603497
AUSTIN BEAVERS
MOUNTAIN HOME, AR
NPI
1245603497
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-11-10
Last Update Date
2020-07-02
Business Address
AUSTIN BEAVERS QBHP
707 N CARDINAL DR
MOUNTAIN HOME, AR 72653-3253
Phone number: 870-425-5644
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Mailing Address
AUSTIN BEAVERS QBHP
205 HIGH SCHOOL DR
SALEM, AR 72576-9556
Phone number:
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