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Individual
KASSIE A LUETH
Active
Individual
KASSIE A LUETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
112307
NE
363L00000X
Nurse Practitioner
H149417
IA
Other
Enumeration date
08/18/2017
Last updated
01/24/2018
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