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1134626765
NATHAN LUTZ
GRAND RAPIDS, MI
NPI
1134626765
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MI 2601001100)
Enumeration Date
2018-04-10
Last Update Date
2018-04-10
Business Address
NATHAN LUTZ MS, AT, ATC
2770 KNAPP ST NE
GRAND RAPIDS, MI 49525-4422
Phone number: 616-648-7505
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Mailing Address
NATHAN LUTZ MS, AT, ATC
4254 TURTLE BEND DR SW APT 5
GRANDVILLE, MI 49418-2516
Phone number: 616-648-7505
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