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1124073556
ALISA ANN KNOWLTON
BOUNTIFUL, UT
NPI
1124073556
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: UT 3615541205)
Enumeration Date
2006-05-24
Last Update Date
2009-06-26
Business Address
Dr. ALISA ANN KNOWLTON MD
390 N MAIN ST
BOUNTIFUL, UT 84010-6046
Phone number: 801-294-1020
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Mailing Address
Dr. ALISA ANN KNOWLTON MD
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-294-1020
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