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1972114882
MICHAEL ASHBY SULLIVAN
STAFFORD, VA
NPI
1972114882
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: VA 0019012217)
Enumeration Date
2020-08-13
Last Update Date
2020-08-13
Business Address
MICHAEL ASHBY SULLIVAN
2152 JEFFERSON DAVIS HWY
STAFFORD, VA 22554-7273
Phone number: 540-751-8750
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Mailing Address
MICHAEL ASHBY SULLIVAN
5 BALDWIN DR
FREDERICKSBURG, VA 22406-6264
Phone number: 540-751-8750
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