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1184934838
KEVIN LUTTRELL
COLTON, CA
NPI
1184934838
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA CADCII)
Enumeration Date
2010-10-15
Last Update Date
2023-03-02
Business Address
Mr. KEVIN LUTTRELL
23950 PRADO LN
COLTON, CA 92324-9734
Phone number: 909-476-2023
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Mailing Address
Mr. KEVIN LUTTRELL
1027 OXFORD DR APT C
REDLANDS, CA 92374-4449
Phone number: 909-262-3707
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