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1790315893
JESSICA BREANNE LUTTON
KETCHIKAN, AK
NPI
1790315893
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-01-17
Last Update Date
2020-01-17
Business Address
JESSICA BREANNE LUTTON CDC2
201 DEERMOUNT ST
KETCHIKAN, AK 99901-6649
Phone number: 907-228-9203
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Mailing Address
JESSICA BREANNE LUTTON CDC2
2960 TONGASS AVE
KETCHIKAN, AK 99901-5742
Phone number:
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