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1356362073
DARREL L. STOUT
EDMOND, OK
NPI
1356362073
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK 14799)
Enumeration Date
2006-07-21
Last Update Date
2019-01-23
Business Address
DARREL L. STOUT M.D.
1575 N SANTA FE AVE
EDMOND, OK 73003-3638
Phone number: 405-285-0660
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Mailing Address
DARREL L. STOUT M.D.
1575 N SANTA FE AVE
EDMOND, OK 73003-3638
Phone number: 405-285-0660
Copy
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