TRACI LYNN STOUT

RAPID CITY, SD
NPI1164204350
Former NameTRACI LYNN CORCORAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: SD  0695)
Enumeration Date2023-10-20
Last Update Date2023-10-20
Business Address
TRACI LYNN STOUT MAT, LAT, ATC
1635 CAREGIVER CIR
RAPID CITY, SD 57702-8529
Phone number: 605-755-6100
Mailing Address
TRACI LYNN STOUT MAT, LAT, ATC
1635 CAREGIVER CIR
RAPID CITY, SD 57702-8529
Phone number:
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