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Individual
GRACE E KNOWLES
Active
Individual
GRACE E KNOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Taxonomy
Speciality
Code
Description
License number
State
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
C145682
IA
363LP0200X
Pediatric Nurse Practitioner
Primary
209.18828
IL
363LP0200X
Pediatric Nurse Practitioner
C145682
IA
363LP0200X
Pediatric Nurse Practitioner
CNP-02374
NM
Other
Enumeration date
05/19/2015
Last updated
02/20/2019
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