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1174513477
RICHARD THOMAS KNOWLTON
FORT SAM HOUSTON, TX
NPI
1174513477
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: UT 123413-4405)
Enumeration Date
2005-10-27
Last Update Date
2007-07-08
Business Address
MR. RICHARD THOMAS KNOWLTON NP
3851 ROGER BROOKE DR BROOKE ARMY MEDICAL CENTER
FORT SAM HOUSTON, TX 78234-6200
Phone number: 210-916-2460
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Mailing Address
MR. RICHARD THOMAS KNOWLTON NP
7403 HARTCREST PL
CONVERSE, TX 78109-3219
Phone number: 210-455-5632
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