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1174300693
PROSPER KETAMINE & IV NUTRITION THERAPY LLC
MCKINNEY, TX
NPI
1174300693
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Entity Type
Organization
Authorized Contact
BERCEY NTOUNG
Administrator
469-584-9905
Organization Subpart ?
No
Primary Taxonomy
207LP2900X Anesthesiology, Pain Medicine
Enumeration Date
2023-09-08
Last Update Date
2023-10-23
Business Address
PROSPER KETAMINE & IV NUTRITION THERAPY LLC
1400 N COIT RD STE 1103
MCKINNEY, TX 75071-6659
Phone number: 469-584-9905
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Mailing Address
PROSPER KETAMINE & IV NUTRITION THERAPY LLC
1400 N COIT RD STE 1103
MCKINNEY, TX 75071-6659
Phone number: 469-584-9905
Copy
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