MR. Jimmy Dale Stout, BA CHAPLAIN

NPI #1548303563 in Tucson, Arizona

Provider Information

NPI Number
1548303563
Entity Type
Individual
Name
MR. Jimmy Dale Stout, BA CHAPLAIN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Credential
BA CHAPLAIN
Enumeration Date
Feb 15, 2007
Last Updated
Jun 20, 2014

Practice Location

Address
8960 N AGATE PLACE
City
Tucson
State
Arizona
ZIP Code
85742
Phone
(520) 241-8608

Specialties & Taxonomy Codes

Specialty
Interpreter
Specialist

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