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Individual
SHERRY D STOUTIN
Active
Individual
SHERRY D STOUTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
M5696
ID
208D00000X
General Practice Physician
MD00040032
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
69378
WA LABOR & INDUSTRIES
WA
05
—
8118655
—
WA
Enumeration date
10/23/2006
Last updated
07/09/2007
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