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Individual
TRACE MCKNIGHT
Active
Individual
TRACE MCKNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
968049
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
1189135
TX
Other
Enumeration date
04/18/2024
Last updated
03/05/2025
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