Organization
THE EDGE STRENGTH & CONDITIONING CAMP LLC
Active
Other names
Camp 357
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OMAR SELLERS USAW CERTIFIED COACH (ATHLETIC DIRECTOR)
(919) 208-3646
Entity
Organization
Contact information
Practice address
120 GEORGE WILTON DR, CLAYTON, NC 27520-9205
(919) 523-8242
Mailing address
PO BOX 41087, RALEIGH, NC 27629-1087
(919) 208-3646
(919) 740-3237
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/20/2009
Last updated
10/20/2009
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