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MR. CLINT TED PASEOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.N.

Contact information

Practice address
20 W BANK ST STE 3, PETERSBURG, VA 23803-3279
(804) 862-8002
(804) 722-4283
Mailing address
20 W BANK ST STE 3, PETERSBURG, VA 23803-3279
(804) 862-8002
(804) 722-4283

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
0001261405
VA

Other

Enumeration date
12/31/2019
Last updated
12/31/2019
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