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Individual
SCOTT RANDALL LUTTRELL
Active
Individual
SCOTT RANDALL LUTTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
876819
MS
367500000X
Certified Registered Nurse Anesthetist
Primary
656163
TX
Other
Enumeration date
03/19/2011
Last updated
08/11/2011
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