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1083935001
SUSAN KATHERINE FRADY
CANON CITY, CO
NPI
1083935001
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CO 10059)
Enumeration Date
2010-06-14
Last Update Date
2016-03-29
Business Address
Mrs. SUSAN KATHERINE FRADY FNP
715 S 9TH ST
CANON CITY, CO 81212-4911
Phone number: 719-269-8820
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Mailing Address
Mrs. SUSAN KATHERINE FRADY FNP
1203 ELM AVE
CANON CITY, CO 81212-4829
Phone number: 303-981-6221
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