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1275095457
RYAN SHIBATA
CHATTANOOGA, TN
NPI
1275095457
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TN 67565)
Enumeration Date
2019-04-05
Last Update Date
2024-03-25
Business Address
RYAN SHIBATA MD
1100 E 3RD ST
CHATTANOOGA, TN 37403-2241
Phone number: 423-778-2957
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Mailing Address
RYAN SHIBATA MD
214 GRAY CREEK RD
GRAYSVILLE, TN 37338-4734
Phone number: 760-636-6741
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