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1417764457
SHANNON BALDWIN
ASHLAND, KY
NPI
1417764457
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
Enumeration Date
2024-12-13
Last Update Date
2024-12-13
Business Address
SHANNON BALDWIN
12216 MIDLAND TRAIL RD
ASHLAND, KY 41102-7766
Phone number: 304-638-7540
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Mailing Address
SHANNON BALDWIN
12216 MIDLAND TRAIL RD
ASHLAND, KY 41102-7766
Phone number: 304-638-7540
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