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1194350686
TODD EDWARD LEROY
PENSACOLA, FL
NPI
1194350686
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL 11004268)
Enumeration Date
2020-03-05
Last Update Date
2020-03-05
Business Address
TODD EDWARD LEROY APRN
5147 N 9TH AVE STE 311
PENSACOLA, FL 32504-8770
Phone number: 850-477-2597
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Mailing Address
TODD EDWARD LEROY APRN
4828 N DAVIS HWY
PENSACOLA, FL 32503-2341
Phone number: 850-477-8109
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