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1407040777
BRANDON DEAN GLOSSUP
KNOXVILLE, TN
NPI
1407040777
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-08-30
Last Update Date
2007-08-30
Business Address
-- BRANDON DEAN GLOSSUP
201 W SPRINGDALE AVE
KNOXVILLE, TN 37917-5158
Phone number: 865-637-9711
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Mailing Address
-- BRANDON DEAN GLOSSUP
201 W SPRINGDALE AVE
KNOXVILLE, TN 37917-5158
Phone number: 865-637-9711
Copy
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