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1245240761
LYNDAL E STOUTIN
LEWISTON, ID
NPI
1245240761
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208VP0014X Pain Medicine Interventional Pain Medicine
(Licence: ID M-5693)
Enumeration Date
2006-08-08
Last Update Date
2014-01-15
Business Address
LYNDAL E STOUTIN M.D.
2841 JUNIPER DR
LEWISTON, ID 83501-4719
Phone number: 208-743-9712
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Mailing Address
LYNDAL E STOUTIN M.D.
2841 JUNIPER DR
LEWISTON, ID 83501-4719
Phone number: 208-743-9712
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