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Individual
JAYSON JEFFERY LUTES
Active
Individual
JAYSON JEFFERY LUTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
RN103132
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN103132
VETERANS ADMINISTRATION
AZ
Enumeration date
11/27/2017
Last updated
11/27/2017
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