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1154141067
MICHELLE ELAINE WILSON-LUTZ
SAN ANTONIO, TX
NPI
1154141067
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: IN 27079910A)
Enumeration Date
2024-10-15
Last Update Date
2024-10-15
Business Address
MICHELLE ELAINE WILSON-LUTZ LPN/LVN
7400 MERTON MINTER ST
SAN ANTONIO, TX 78229-4404
Phone number: 210-617-5300
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Mailing Address
MICHELLE ELAINE WILSON-LUTZ LPN/LVN
533 CHAPARRAL DR
RUSSIAVILLE, IN 46979-9128
Phone number: 210-850-6703
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