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1013548296
COLLEEN LEO FRADY
COVINGTON, LA
NPI
1013548296
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Former Name
COLLEEN TEEL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 211473)
Enumeration Date
2020-01-28
Last Update Date
2024-09-04
Business Address
COLLEEN LEO FRADY FNP-C
95 JUDGE TANNER BLVD
COVINGTON, LA 70433-7500
Phone number: 985-867-8585
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Mailing Address
COLLEEN LEO FRADY FNP-C
902 MAINE AVE
SLIDELL, LA 70458-3546
Phone number: 985-774-9642
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