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1972856623
MICHAEL T LUTZ
BULLHEAD CITY, AZ
NPI
1972856623
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AZ 5243)
Enumeration Date
2012-10-18
Last Update Date
2012-10-18
Business Address
-- MICHAEL T LUTZ COTA
2150 SILVER CREEK RD
BULLHEAD CITY, AZ 86442-8472
Phone number: 928-763-8700
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Mailing Address
-- MICHAEL T LUTZ COTA
1570 PASEO GRANDE APT 2011
BULLHEAD CITY, AZ 86442-8523
Phone number: 715-292-8785
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