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1477238178
ALYSSA ANN STOUT
BROKEN BOW, NE
NPI
1477238178
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Former Name
ALYSSA ANN CORBIN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NH 857)
Enumeration Date
2023-06-20
Last Update Date
2023-06-20
Business Address
ALYSSA ANN STOUT ATC
325 S 1ST AVE
BROKEN BOW, NE 68822-2213
Phone number: 308-872-5111
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Mailing Address
ALYSSA ANN STOUT ATC
325 S 1ST AVE
BROKEN BOW, NE 68822-2213
Phone number: 308-872-5111
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