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1457496895
PHYLLIS J. STOUT
SPRINGFIELD, MO
NPI
1457496895
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 052911)
Enumeration Date
2007-02-21
Last Update Date
2008-11-18
Business Address
-- PHYLLIS J. STOUT FNP
2115 S FREMONT AVE SUITE 1000
SPRINGFIELD, MO 65804-2239
Phone number: 417-820-8099
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Mailing Address
-- PHYLLIS J. STOUT FNP
PO BOX 2580
SPRINGFIELD, MO 65801-2580
Phone number: 417-829-4620
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