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1568217057
TRACE MCKNIGHT
FORT WORTH, TX
NPI
1568217057
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TX 968049)
Enumeration Date
2024-04-18
Last Update Date
2024-04-18
Business Address
TRACE MCKNIGHT
1500 S MAIN ST
FORT WORTH, TX 76104-4917
Phone number: 817-702-3431
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Mailing Address
TRACE MCKNIGHT
310 LONE OAK CIR
EULESS, TX 76039-2814
Phone number: 620-704-1079
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