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1306436571
COLLEEN ANNE DIBBLE
BOISE, ID
NPI
1306436571
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: ID D-464)
Enumeration Date
2021-01-21
Last Update Date
2021-01-21
Business Address
COLLEEN ANNE DIBBLE MS, RD
400 W FORT ST
BOISE, ID 83702-4531
Phone number: 208-422-1000
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Mailing Address
COLLEEN ANNE DIBBLE MS, RD
1315 N 16TH ST
BOISE, ID 83702-3431
Phone number: 208-319-4330
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