STACI STOUT

SOUTH JORDAN, UT
NPI1245755719
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: UT  5328323-9920)
Enumeration Date2017-08-07
Last Update Date2022-07-21
Business Address
STACI STOUT RDH, BSDH
3113 W SWISS PASS CIR
SOUTH JORDAN, UT 84095
Phone number: 801-678-1221
Mailing Address
STACI STOUT RDH, BSDH
3113 W SWISS PASS CIR
SOUTH JORDAN, UT 84095-8489
Phone number: 801-678-1221
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