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1316792518
JACOB NATHANIEL LUTZ
LOUISVILLE, KY
NPI
1316792518
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-22
Last Update Date
2024-05-07
Business Address
JACOB NATHANIEL LUTZ
571 S FLOYD ST
LOUISVILLE, KY 40202-3818
Phone number: 502-629-8828
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Mailing Address
JACOB NATHANIEL LUTZ
571 S FLOYD ST
LOUISVILLE, KY 40202-3818
Phone number:
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