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Individual

DORLISA FOBB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1058 E WORTHY ST STE B-2, GONZALES, LA 70737-4359
(225) 450-3216
(225) 450-3799
Mailing address
6929 COMMERCE CIR APT 7311, BATON ROUGE, LA 70809-1891
(337) 322-0079

Taxonomy

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

Other

Enumeration date
05/15/2025
Last updated
05/15/2025
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