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1811465941
IAN JAMES STOUT
SCRANTON, PA
NPI
1811465941
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: PA PT027378)
Enumeration Date
2018-11-07
Last Update Date
2023-10-03
Business Address
IAN JAMES STOUT DPT, ATC
300 LACKAWANNA AVE
SCRANTON, PA 18503-2001
Phone number: 570-209-7604
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Mailing Address
IAN JAMES STOUT DPT, ATC
1915 ENGLEWOOD TER
FORTY FORT, PA 18704-4321
Phone number: 570-259-7087
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