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1508263674
VICKI LEANN STOUT
SELMER, TN
NPI
1508263674
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: TN 5328)
Enumeration Date
2014-12-04
Last Update Date
2014-12-04
Business Address
VICKI LEANN STOUT PT
270 E COURT AVE
SELMER, TN 38375-2304
Phone number: 731-645-7932
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Mailing Address
VICKI LEANN STOUT PT
270 E COURT AVE
SELMER, TN 38375-2304
Phone number: 731-645-7932
Copy
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