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Open up your Games Library and right-click the game. Select Properties > Local Files > Verify Integrity of Game Cache. This will scan the file for the game already on your computer. If there's any problem, it will say "x files failed to validate and will be reacquired."
Steam>steamapps>common>BorderlandsPreSequel>Binaries>Redist and double clicked vcredist_x86_vs2010sp1.exe
This launched the installer which gave me the option to repair, which I did. The installer did its thing, then I went back to the Steam Client and clicked Play. Worked.
I suppose the same could have been done from the Control Panel>Uninstall A Program. Anyway, hope this helps someone else.
1. Sifting through the local files and find the launcher.exe. Then, run as administrator.
2. Verify cache.
3. Run the vcredist_x86_vs2010sp1.exe found in the local files.
4. Uninstall and reinstall.