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1457545097
MICHAEL BRANDON LONG
FORT MILL, SC
NPI
1457545097
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: NC 2751)
Enumeration Date
2007-08-28
Last Update Date
2007-08-28
Business Address
Mr. MICHAEL BRANDON LONG MA
541 VELOCE TRL
FORT MILL, SC 29715-7826
Phone number: 803-547-0421
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Mailing Address
Mr. MICHAEL BRANDON LONG MA
541 VELOCE TRL
FORT MILL, SC 29715-7826
Phone number: 803-547-0421
Copy
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