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1013399781
KENDALL C SHIBUYA
SEATTLE, WA
NPI
1013399781
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WA OP61071725)
Enumeration Date
2015-06-18
Last Update Date
2022-01-18
Business Address
Dr. KENDALL C SHIBUYA DO
1801 NW MARKET ST STE 403
SEATTLE, WA 98107-3901
Phone number: 206-297-5100
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Mailing Address
Dr. KENDALL C SHIBUYA DO
PO BOX 25608
SALT LAKE CITY, UT 84125-0608
Phone number: 206-320-4476
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