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1720020928
LARRY BLANDING
SUMTER, SC
NPI
1720020928
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2006-06-12
Last Update Date
2007-07-08
Business Address
Mr. LARRY BLANDING
215 N. MAGNOLIA ST. SWCMHC
SUMTER, SC 29151-1946
Phone number: 803-775-9364
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Mailing Address
Mr. LARRY BLANDING
215 N. MAGNOLIA ST. SWCMHC
SUMTER, SC 29151-1946
Phone number: 803-775-9364
Copy
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