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1790029460
DIANA M.P. STOUT
AUSTIN, TX
NPI
1790029460
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP121795)
Enumeration Date
2012-11-19
Last Update Date
2017-03-13
Business Address
-- DIANA M.P. STOUT FNP
4614 N IH 35
AUSTIN, TX 78751-3401
Phone number: 512-978-9100
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Mailing Address
-- DIANA M.P. STOUT FNP
4614 N IH 35
AUSTIN, TX 78751-3401
Phone number: 512-978-9100
Copy
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