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Individual

MRS. LEONARDTINE Y COLLINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8509 PRAIRIE ROSE LN, FORT WORTH, TX 76123-2363
(817) 902-8656
Mailing address
2405 EDINBURGH DR, CROWLEY, TX 76036-4667
(817) 902-8656

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
TX

Other

Enumeration date
04/22/2026
Last updated
04/22/2026
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