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1215622642
DESIREE C STOUT
FORT POLK, LA
NPI
1215622642
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
Additional Taxonomies
124Q00000X Dental Hygienist
Enumeration Date
2023-04-11
Last Update Date
2023-04-11
Business Address
DESIREE C STOUT
7223 MISSISSIPPI AVE.
FORT POLK, LA 71459
Phone number: 337-531-2603
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Mailing Address
DESIREE C STOUT
7223 MISSISSIPPI AVE
FORT POLK, LA 71459
Phone number:
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TERESA CONTRERAS
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