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Individual

MR. CLINTON PAUL PINA III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
503 ROCKDALE AVE, NEW BEDFORD, MA 02740-1460
(508) 951-6732
Mailing address
503 ROCKDALE AVE, NEW BEDFORD, MA 02740-1460
(508) 951-6732

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
322D00000X
MA

Other

Enumeration date
03/28/2012
Last updated
03/28/2012
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