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1588609242
FRED R KNICKERBOCKER
BRISTOL, TN
NPI
1588609242
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: TN 10490)
Enumeration Date
2006-06-18
Last Update Date
2008-03-24
Business Address
Dr. FRED R KNICKERBOCKER M.D.
260 MIDWAY MEDICAL PARK SUITE 100
BRISTOL, TN 37620-1721
Phone number: 423-968-4446
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Mailing Address
Dr. FRED R KNICKERBOCKER M.D.
260 MIDWAY MEDICAL PARK SUITE 100
BRISTOL, TN 37620-1721
Phone number: 423-968-4446
Copy
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