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1902334907
REGINALD ROZELL BRANTLEY
ORLANDO, FL
NPI
1902334907
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: FL MCAP100050)
Enumeration Date
2017-06-02
Last Update Date
2022-07-21
Business Address
REGINALD ROZELL BRANTLEY MCAP
37 N ORANGE AVE STE 500
ORLANDO, FL 32801-2459
Phone number: 407-488-1809
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Mailing Address
REGINALD ROZELL BRANTLEY MCAP
37 N ORANGE AVE STE 500
ORLANDO, FL 32801-2459
Phone number: 407-488-1809
Copy
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