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Individual

NICOLAS ALLEN KNOWLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
8283 GROVE AVE STE 202, RANCHO CUCAMONGA, CA 91730-3140
(909) 527-4909
Mailing address
8283 GROVE AVE STE 202, RANCHO CUCAMONGA, CA 91730-3140
(909) 527-4909

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA61832
CA

Other

Enumeration date
10/26/2022
Last updated
03/20/2023
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