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Individual
REBECCA L KNUDSON
Active
Individual
REBECCA L KNUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5715
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5606960
—
SD
Enumeration date
02/13/2006
Last updated
02/06/2013
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