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Individual

BORA BISIMWA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12667 GOFF ST, CALDWELL, ID 83607-5845
(520) 269-2213
Mailing address
12667 GOFF ST, CALDWELL, ID 83607-5845
(520) 269-2213

Taxonomy

Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
CFH-10146
ID

Other

Enumeration date
03/05/2026
Last updated
03/05/2026
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