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1164095550
COLEEN REILLY
PORT ST LUCIE, FL
NPI
1164095550
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11014451)
Enumeration Date
2021-07-22
Last Update Date
2022-12-22
Business Address
COLEEN REILLY MSN, APRN, FNP-C
672 SW PRIMA VISTA BLVD STE 102
PORT ST LUCIE, FL 34983-1820
Phone number: 772-905-2560
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Mailing Address
COLEEN REILLY MSN, APRN, FNP-C
2313 SW 18TH TER
CAPE CORAL, FL 33991-3058
Phone number: 814-644-8299
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