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1023505872
JESSICA L LUTTRELL
MANSFIELD, OH
NPI
1023505872
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.151810)
Enumeration Date
2018-04-17
Last Update Date
2018-04-17
Business Address
JESSICA L LUTTRELL
780 PARK AVE W
MANSFIELD, OH 44906-3009
Phone number: 419-709-8103
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Mailing Address
JESSICA L LUTTRELL
47 SUNSET RD N
ONTARIO, OH 44906-2273
Phone number: 484-354-1614
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