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1811410194
JORDAN BRANTLEY
GREENVILLE, SC
NPI
1811410194
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2017-07-19
Last Update Date
2022-07-21
Business Address
JORDAN BRANTLEY
124 MALLARD ST
GREENVILLE, SC 29601
Phone number: 864-241-1040
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Mailing Address
JORDAN BRANTLEY
124 MALLARD ST
GREENVILLE, SC 29601-4046
Phone number: 864-241-1040
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