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1174157515
MATTHEW LEE LUTTRELL
JACKSON, TN
NPI
1174157515
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TN 27140)
Enumeration Date
2020-02-25
Last Update Date
2020-02-25
Business Address
MATTHEW LEE LUTTRELL APN
620 SKYLINE DR
JACKSON, TN 38301-3923
Phone number: 731-422-0213
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Mailing Address
MATTHEW LEE LUTTRELL APN
PO BOX 400
JACKSON, TN 38302-0400
Phone number: 731-425-5752
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