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1013159391
GERALD WENDELL BRANDON
BALTIMORE, MD
NPI
1013159391
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-04-01
Last Update Date
2009-12-21
Business Address
Mr. GERALD WENDELL BRANDON
1501 W SARATOGA ST
BALTIMORE, MD 21223-1749
Phone number: 410-735-5225
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Mailing Address
Mr. GERALD WENDELL BRANDON
8214 ETHAN WAY
WINDSOR MILL, MD 21244-2062
Phone number: 410-383-8300
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