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1578706305
SUSIE IRENE LUTON
LAKE CITY, FL
NPI
1578706305
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-04-09
Last Update Date
2009-04-09
Business Address
-- SUSIE IRENE LUTON
439 SW MICHIGAN ST
LAKE CITY, FL 32025-0440
Phone number: 386-487-0800
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Mailing Address
-- SUSIE IRENE LUTON
439 SW MICHIGAN ST
LAKE CITY, FL 32025-0440
Phone number:
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