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1326418096
DAVID BRANDON BLACKMON
CONCORD, NC
NPI
1326418096
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: NC 11002A)
Enumeration Date
2015-10-06
Last Update Date
2015-12-31
Business Address
Mr. DAVID BRANDON BLACKMON
300 COPPERFIELD BLVD NE SUITE 105
CONCORD, NC 28025-2428
Phone number: 704-782-3131
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Mailing Address
Mr. DAVID BRANDON BLACKMON
515 CLANTON RD
CHARLOTTE, NC 28217-1309
Phone number:
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