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1154021061
DAVID BANNING HISLOP
RUTHERFORDTON, NC
NPI
1154021061
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2023-03-08
Last Update Date
2023-03-08
Business Address
DAVID BANNING HISLOP
161 JOHN C LOGAN RD
RUTHERFORDTON, NC 28139-8254
Phone number: 843-597-3465
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Mailing Address
DAVID BANNING HISLOP
161 JOHN C LOGAN RD
RUTHERFORDTON, NC 28139-8254
Phone number: 843-597-3465
Copy
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