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Individual

DOREAN ANDRE KENNETH HALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1268 FOXLANE DR, BATON ROUGE, LA 70819-2107
(504) 822-4333
Mailing address
1268 FOXLANE DRIVE, BATON ROUGE, LA 70819
(504) 822-4333

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
02/20/2017
Last updated
05/07/2018
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