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1659706943
JASON LUTY
WALLINGFORD, PA
NPI
1659706943
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2013-09-05
Last Update Date
2013-09-05
Business Address
JASON LUTY ATC
205 S PROVIDENCE RD
WALLINGFORD, PA 19086-6333
Phone number: 610-310-7690
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Mailing Address
JASON LUTY ATC
23 SANDY LN
MALVERN, PA 19355-3027
Phone number:
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