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1881917045
PHILLIP DUSTIN CRAIN
GREENVILLE, SC
NPI
1881917045
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2010-03-02
Last Update Date
2010-03-05
Business Address
-- PHILLIP DUSTIN CRAIN
124 MALLARD ST
GREENVILLE, SC 29601-4046
Phone number: 864-241-1040
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Mailing Address
-- PHILLIP DUSTIN CRAIN
124 MALLARD ST
GREENVILLE, SC 29601-4046
Phone number: 864-241-1040
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