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1245888049
COLTON ALEXANDER LUTHER
MENTOR, OH
NPI
1245888049
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X Community/Behavioral Health
Enumeration Date
2019-08-27
Last Update Date
2019-08-27
Business Address
COLTON ALEXANDER LUTHER
9220 MENTOR AVE
MENTOR, OH 44060-6412
Phone number: 440-354-9924
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Mailing Address
COLTON ALEXANDER LUTHER
9220 MENTOR AVE
MENTOR, OH 44060-6412
Phone number: 440-354-9924
Copy
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