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Organization
KELEAC VENTURES LLC
Active
Organization
KELEAC VENTURES LLC
Active
Other names
Accelerated Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HERBERT KEVIN COATES JR. FNP (OWNER)
(214) 233-5802
Entity
Organization
Contact information
Practice address
4128 MAISON RDG, DALLAS, TX 75219-3044
(214) 233-5802
Mailing address
4128 MAISON RDG, DALLAS, TX 75219-3044
(337) 655-1322
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/06/2024
Last updated
07/06/2024
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