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1629478037
A BALANCED LIFE WELLNESS CLINIC AND APOTHECARY, LLC
RESTON, VA
NPI
1629478037
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Entity Type
Organization
Authorized Contact
BETSY COSTILO
President
301-602-1518
Organization Subpart ?
No
Primary Taxonomy
133N00000X Nutritionist
Enumeration Date
2014-09-04
Last Update Date
2014-09-04
Business Address
A BALANCED LIFE WELLNESS CLINIC AND APOTHECARY, LLC
1818 LIBRARY ST STE 500
RESTON, VA 20190-6242
Phone number: 301-602-1518
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Mailing Address
A BALANCED LIFE WELLNESS CLINIC AND APOTHECARY, LLC
1818 LIBRARY ST STE 500
RESTON, VA 20190-6242
Phone number: 301-602-1518
Copy
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