SHANNON CHARLES

PRESTONSBURG, KY
NPI1164601886
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy373H00000X Day Training/Habilitation Specialist
Enumeration Date2007-10-30
Last Update Date2007-10-30
Business Address
-- SHANNON CHARLES BA
40 GREENHOUSE LN RT 321 AUXIER ROAD
PRESTONSBURG, KY 41653-9180
Phone number: 606-886-6815
Mailing Address
-- SHANNON CHARLES BA
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
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