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Individual

CYNTHIA M KNIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
940 BELMONT ST, HBPC 11H & CBCBK, BROCKTON, MA 02301-5596
(774) 826-2385
(774) 826-3035
Mailing address
940 BELMONT ST, HBPC 11H & CBCBK, BROCKTON, MA 02301-5596
(774) 826-2385
(774) 826-3035

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
191579
MA
363LP2300X
Primary Care Nurse Practitioner
Primary
191579
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0708089
MA
Enumeration date
03/21/2006
Last updated
08/02/2012
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