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1659929156
GALE E BACAN
MOUNTAIN HOME, AR
NPI
1659929156
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Former Name
GALE E WELMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2019-08-28
Last Update Date
2019-08-28
Business Address
Mrs. GALE E BACAN
1703 MONROE AVE
MOUNTAIN HOME, AR 72653
Phone number: 870-421-5189
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Mailing Address
Mrs. GALE E BACAN
1703 MONROE AVE
MOUNTAIN HOME, AR 72653
Phone number: 870-421-5189
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