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1033885124
OLIVE MBULAMBO SHAMAKWETE
BOISE, ID
NPI
1033885124
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-08-18
Last Update Date
2021-08-18
Business Address
OLIVE MBULAMBO SHAMAKWETE
2067 S CORONADO WAY
BOISE, ID 83709-2597
Phone number: 208-570-9605
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Mailing Address
OLIVE MBULAMBO SHAMAKWETE
2067 S CORONADO WAY
BOISE, ID 83709-2597
Phone number: 208-570-9605
Copy
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