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1598072332
NATHAN A STOUT
WEST JORDAN, UT
NPI
1598072332
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: UT 69840251702)
Enumeration Date
2010-08-31
Last Update Date
2010-08-31
Business Address
-- NATHAN A STOUT
7655 S 2700 W APT. B
WEST JORDAN, UT 84084-3803
Phone number: 801-540-0688
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Mailing Address
-- NATHAN A STOUT
7655 S 2700 W APT. B
WEST JORDAN, UT 84084-3803
Phone number:
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