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1750809224
MARK JOSEPH KNOTTS
BRIDGETON, MO
NPI
1750809224
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MO 2012035227)
Enumeration Date
2017-09-06
Last Update Date
2017-09-06
Business Address
MARK JOSEPH KNOTTS NP
12303 DE PAUL DR
BRIDGETON, MO 63044-2512
Phone number: 314-344-6000
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Mailing Address
MARK JOSEPH KNOTTS NP
5410 MARYLAND WAY STE 300
BRENTWOOD, TN 37027-5339
Phone number: 615-377-5603
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