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1720351588
ANNA PAULINE STOUT
INDIAN LAND, SC
NPI
1720351588
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: SC 5499)
Enumeration Date
2012-02-09
Last Update Date
2015-04-14
Business Address
ANNA PAULINE STOUT
1162 FORT MILL HWY
INDIAN LAND, SC 29707-7697
Phone number: 803-548-9113
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Mailing Address
ANNA PAULINE STOUT
418 KELLYRIDGE DR
APEX, NC 27502-9639
Phone number:
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