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Individual

MR. JAMES GAYLE STOUFFLET JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPAS, PA-C

Contact information

Practice address
4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433-5546
(937) 257-9700
Mailing address
4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433-5529
(937) 257-9700

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
10/02/2010
Last updated
09/11/2011
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