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1881114619
A VIVID AGE LLC
WASHINGTON, DC
NPI
1881114619
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Entity Type
Organization
Authorized Contact
VIVIANA SCOTT
Owner
202-425-4137
Organization Subpart ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2017-06-22
Last Update Date
2022-07-21
Business Address
A VIVID AGE LLC
2716 29TH ST SE APT B196
WASHINGTON, DC 20020-3170
Phone number: 202-425-4137
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Mailing Address
A VIVID AGE LLC
2716 29TH ST SE APT B196
WASHINGTON, DC 20020-3170
Phone number: 202-425-4137
Copy
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