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1669616611
KATHERINE STOUT
CHAMPAIGN, IL
NPI
1669616611
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209007439)
Enumeration Date
2009-04-21
Last Update Date
2014-05-13
Business Address
-- KATHERINE STOUT NP
1802 S. MATTIS AVENUE ORTHOPEDICS
CHAMPAIGN, IL 61821
Phone number: 217-383-7676
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Mailing Address
-- KATHERINE STOUT NP
611 W. PARK ST. BWPC
URBANA, IL 61801-2500
Phone number: 217-383-6792
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