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1205163342
BRANDON LAMAR JOHNSON
CHICAGO, IL
NPI
1205163342
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2009-11-11
Last Update Date
2009-11-11
Business Address
MR. BRANDON LAMAR JOHNSON
3154 W BELLE PLAINE AVE APT 1N
CHICAGO, IL 60618-2427
Phone number: 708-724-4912
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Mailing Address
MR. BRANDON LAMAR JOHNSON
3154 W BELLE PLAINE AVE APT 1N
CHICAGO, IL 60618-2427
Phone number: 708-724-4912
Copy
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