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Individual
MR. STEPHEN RICHARD PESSEFALL
Active
Individual
MR. STEPHEN RICHARD PESSEFALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
RN249977
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.021419
OH
Other
Enumeration date
09/21/2009
Last updated
12/23/2019
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