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Individual

AMANDA KNOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1500 CIRCLE DR, SUITE 300, FORT WORTH, TX 76119-8118
(817) 413-6320
(817) 321-5338
Mailing address
1500 CIRCLE DR, SUITE 300, FORT WORTH, TX 76119-8118

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
695017
TX

Other

Enumeration date
06/20/2014
Last updated
06/20/2014
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