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1891059713
SHANON N GILES
LATHAM, NY
NPI
1891059713
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
Additional Taxonomies
251S00000X
Enumeration Date
2012-06-25
Last Update Date
2012-06-25
Business Address
Mrs. SHANON N GILES MSEd
623 NEW LOUDON RD
LATHAM, NY 12110-4031
Phone number: 518-782-1178
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Mailing Address
Mrs. SHANON N GILES MSEd
36 BEVAN ST
COHOES, NY 12047-4105
Phone number: 518-577-4563
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