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1578619219
MANDY C STOUT
SNELLVILLE, GA
NPI
1578619219
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: GA 003919)
Enumeration Date
2007-01-26
Last Update Date
2008-03-21
Business Address
-- MANDY C STOUT PA-C
1700 TREE LN SUITE 170
SNELLVILLE, GA 30078-6782
Phone number: 770-962-0399
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Mailing Address
-- MANDY C STOUT PA-C
755 WALTHER RD
LAWRENCEVILLE, GA 30045-8725
Phone number: 770-962-0399
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