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1275592248
CAROL MCCONNELL STOUT
FORT DEFIANCE, AZ
NPI
1275592248
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: VA 0024165026)
Enumeration Date
2006-03-20
Last Update Date
2007-07-08
Business Address
-- CAROL MCCONNELL STOUT CNM
CORNER OF RT N12 AND RT N 7
FORT DEFIANCE, AZ 86504
Phone number: 928-729-8798
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Mailing Address
-- CAROL MCCONNELL STOUT CNM
PO BOX 1578
FORT DEFIANCE, AZ 86504-1578
Phone number: 928-729-5987
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