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1336357896
KENT STOUT
DIAMOND BAR, CA
NPI
1336357896
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA S58129)
Enumeration Date
2007-05-18
Last Update Date
2007-07-09
Business Address
-- KENT STOUT PA
1514 VALLEY VISTA DR
DIAMOND BAR, CA 91765-3929
Phone number: 909-860-1144
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Mailing Address
-- KENT STOUT PA
DEPT LA21190
PASADENA, CA 91185-1190
Phone number: 714-449-4800
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