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1255047049
KEESHA COPELAND
DALLAS, TX
NPI
1255047049
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Former Name
KEESHA NICHOLS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: TX 1107101)
Enumeration Date
2023-01-25
Last Update Date
2024-08-22
Business Address
KEESHA COPELAND APRN, A-GNP-C
2360 GUS THOMASSON RD
DALLAS, TX 75228-3005
Phone number: 214-396-0348
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Mailing Address
KEESHA COPELAND APRN, A-GNP-C
PO BOX 746079
ATLANTA, GA 30374-6079
Phone number: 312-733-9730
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