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1407578511
AMANDA LYNN NUTRITION LLC
LORTON, VA
NPI
1407578511
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Entity Type
Organization
Authorized Contact
AMANDA LYNN STATHOS
Owner
815-321-1555
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2022-09-15
Last Update Date
2022-09-15
Business Address
AMANDA LYNN NUTRITION LLC
9031 ENDICOTT PL
LORTON, VA 22079-4541
Phone number: 815-321-1555
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Mailing Address
AMANDA LYNN NUTRITION LLC
9031 ENDICOTT PL
LORTON, VA 22079-4541
Phone number: 815-321-1555
Copy
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