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1316049935
BRUCE LEON EDWARDS
GREENVILLE, SC
NPI
1316049935
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2006-09-03
Last Update Date
2007-07-08
Business Address
MR. BRUCE LEON EDWARDS
124 MALLARD STREET
GREENVILLE, SC 29601-4046
Phone number: 864-241-1040
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Mailing Address
MR. BRUCE LEON EDWARDS
124 MALLARD STREET
GREENVILLE, SC 29601-4046
Phone number: 864-241-1040
Copy
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