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1194973891
JARED ANTHONY LUTZ
EDINA, MN
NPI
1194973891
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 11079-24)
Enumeration Date
2008-09-05
Last Update Date
2017-04-21
Business Address
-- JARED ANTHONY LUTZ DPT
7900 W 78TH ST STE 180
EDINA, MN 55439-2537
Phone number: 612-968-0094
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Mailing Address
-- JARED ANTHONY LUTZ DPT
18792 HUXLEY AVE
LAKEVILLE, MN 55044-3605
Phone number: 612-968-0094
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