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1033627104
TIFFANY J SHANTIE
MALONE, NY
NPI
1033627104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2018-01-11
Last Update Date
2018-01-11
Business Address
TIFFANY J SHANTIE CPS-P
15 4TH ST
MALONE, NY 12953-1340
Phone number: 518-481-8171
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Mailing Address
TIFFANY J SHANTIE CPS-P
15 4TH ST
MALONE, NY 12953-1340
Phone number: 518-481-8171
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