Individual
CAMERON STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(310) 883-8284
Mailing address
3232 SAWTELLE BLVD APT 302, LOS ANGELES, CA 90066-1616
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/10/2010
Last updated
05/10/2010
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