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1649208596
BILLY MACK KNOWLES
BRANDON, FL
NPI
1649208596
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA3114)
Enumeration Date
2006-06-29
Last Update Date
2007-07-09
Business Address
Mr. BILLY MACK KNOWLES P.A.
500 VONDERBURG DR SUITE 311 WEST
BRANDON, FL 33511-5964
Phone number: 813-654-2445
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Mailing Address
Mr. BILLY MACK KNOWLES P.A.
PO BOX 242
BRANDON, FL 33509-0242
Phone number: 813-654-2445
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