BRIAN JONATHAN STOUT

TOLEDO, OH
NPI1427506120
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MI  2601002191)
Enumeration Date2016-09-12
Last Update Date2019-05-10
Business Address
BRIAN JONATHAN STOUT LAT, ATC
2801 W BANCROFT ST
TOLEDO, OH 43606-3390
Phone number: 734-216-5132
Mailing Address
BRIAN JONATHAN STOUT LAT, ATC
7968 RAMBLEWOOD CT
YPSILANTI, MI 48197-7170
Phone number: 734-216-5132
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