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1710594478
KATRINA SHIBAMBO
BOISE, ID
NPI
1710594478
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Former Name
KATRINA TOOMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2020-09-28
Last Update Date
2024-12-13
Business Address
KATRINA SHIBAMBO
960 S BROADWAY AVE
BOISE, ID 83706-3600
Phone number: 208-433-9211
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Mailing Address
KATRINA SHIBAMBO
16083 SW UPPER BOONES FERRY RD STE 300
TIGARD, OR 97224-7736
Phone number: 503-443-6156
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