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Individual

GINA LOUISE DESTEFANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
51 MAN MAR DR UNIT 2, PLAINVILLE, MA 02762-2272
(508) 222-9914
(508) 222-9914
Mailing address
1797 WASHINGTON ST, HOLLISTON, MA 01746-2239
(774) 573-6307

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
011050
NY
152W00000X
Optometrist
Primary
OPT8361
MA

Other

Enumeration date
08/12/2024
Last updated
06/11/2026
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