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1407072952
NICOLE M STOUT
BRYN MAWR, PA
NPI
1407072952
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: PA SP008428)
Enumeration Date
2007-04-17
Last Update Date
2007-07-08
Business Address
-- NICOLE M STOUT CRNP
933 E HAVERFORD RD
BRYN MAWR, PA 19010-3819
Phone number: 610-525-4511
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Mailing Address
-- NICOLE M STOUT CRNP
933 E HAVERFORD RD
BRYN MAWR, PA 19010-3819
Phone number: 610-525-4511
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