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Individual

MR. PAUL STOUFFLET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S., ATC, LAT

Contact information

Practice address
1105 KELLY LN, LEWISVILLE, TX 75077-2548
(214) 226-2540
Mailing address
1105 KELLY LN, LEWISVILLE, TX 75077-2548

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT3134
TX

Other

Enumeration date
02/21/2008
Last updated
02/21/2008
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