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1548903040
JOHNATHAN MARK LUTH
JACKSONVILLE, FL
NPI
1548903040
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: VA 0102208035)
Enumeration Date
2022-04-14
Last Update Date
2024-03-12
Business Address
Dr. JOHNATHAN MARK LUTH DO
964 AJAX STREET
JACKSONVILLE, FL 32212
Phone number: 904-546-7094
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Mailing Address
Dr. JOHNATHAN MARK LUTH DO
8901 WISCONSIN AVE
BETHESDA, MD 20889-0004
Phone number:
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