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1164002895
ATHLETIC EDGE SPORTS MASSAGE, LLC
VIENNA, VA
NPI
1164002895
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Entity Type
Organization
Authorized Contact
MICHELLE A SWEENEY
Owner
571-259-4154
Organization Subpart ?
No
Primary Taxonomy
225700000X Massage Therapist
Enumeration Date
2021-04-08
Last Update Date
2021-04-08
Business Address
ATHLETIC EDGE SPORTS MASSAGE, LLC
226 MAPLE AVE W STE 303
VIENNA, VA 22180-5607
Phone number: 571-259-4154
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Mailing Address
ATHLETIC EDGE SPORTS MASSAGE, LLC
226 MAPLE AVE W STE 303
VIENNA, VA 22180-5607
Phone number: 703-938-0315
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