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1396521134
FUNCTIONAL HEALTH REVOLUTION
VIRGINIA BEACH, VA
NPI
1396521134
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Entity Type
Organization
Authorized Contact
KIM SEIDL
Member
703-214-5121
Organization Subpart ?
No
Primary Taxonomy
133NN1002X Nutritionist, Nutrition, Education
Enumeration Date
2023-09-07
Last Update Date
2023-09-07
Business Address
FUNCTIONAL HEALTH REVOLUTION
4445 CORPORATION LN STE 264
VIRGINIA BEACH, VA 23462-3671
Phone number: 703-214-5121
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Mailing Address
FUNCTIONAL HEALTH REVOLUTION
3301 RICHMOND HWY # 1127
ALEXANDRIA, VA 22305-3044
Phone number: 703-214-5121
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