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1790153476
ALEXANDRA ELIZABETH STOUT
ASHLAND, OR
NPI
1790153476
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA174759)
Enumeration Date
2015-09-11
Last Update Date
2024-11-15
Business Address
ALEXANDRA ELIZABETH STOUT PA-C
99 CENTRAL AVE
ASHLAND, OR 97520-1787
Phone number: 541-482-9741
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Mailing Address
ALEXANDRA ELIZABETH STOUT PA-C
1221 DISK DR
MEDFORD, OR 97501-6638
Phone number: 541-773-3863
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