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Individual
SARAH A STOUT
Active
Individual
SARAH A STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-03726
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124377247
—
NC
Enumeration date
09/05/2012
Last updated
08/09/2018
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