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1114039880
JACK C. BRANDON
GAINESVILLE, FL
NPI
1114039880
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801067748)
Enumeration Date
2006-08-31
Last Update Date
2024-05-09
Business Address
Mr. JACK C. BRANDON LMSM
1601 SW ARCHER RD
GAINESVILLE, FL 32608-1135
Phone number: 352-376-1611
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Mailing Address
Mr. JACK C. BRANDON LMSM
491 ALTON AVE
BATTLE CREEK, MI 49017-3211
Phone number: 269-268-3280
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