Individual
DORIS ORIBAMISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12254 67TH ST NE, OTSEGO, MN 55330-6900
(612) 986-4514
Mailing address
12254 67TH ST NE, OTSEGO, MN 55330-6900
(612) 986-4514
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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