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1487152328
DAVE STOUT
KAYENTA, AZ
NPI
1487152328
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WE0003X Registered Nurse, Emergency
(Licence: CO 1623113)
Enumeration Date
2018-01-25
Last Update Date
2018-01-25
Business Address
DAVE STOUT
394.3 HIGHWAY 160
KAYENTA, AZ 86033
Phone number: 928-697-4100
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Mailing Address
DAVE STOUT
PO BOX 3656
KAYENTA, AZ 86033-3656
Phone number:
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