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Individual

JACQUELINE CORY STOUDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3151 WALBERT AVE, ALLENTOWN, PA 18104-5504
(484) 658-9100
Mailing address
619 JEFFERSON ST, RED HILL, PA 18076-1376

Taxonomy

Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
TE013802
PA

Other

Enumeration date
08/01/2025
Last updated
08/01/2025
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