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1457742017
BRANDON LUTTRELL
LUBBOCK, TX
NPI
1457742017
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: TX 1167560)
Enumeration Date
2015-02-17
Last Update Date
2015-02-17
Business Address
-- BRANDON LUTTRELL
6640 IOLA AVE
LUBBOCK, TX 79424-7845
Phone number: 806-797-8099
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Mailing Address
-- BRANDON LUTTRELL
4602 100TH ST
LUBBOCK, TX 79424-7319
Phone number:
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