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1942769773
DESTA LISSANU
BOSTON, MA
NPI
1942769773
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MA 290272)
Enumeration Date
2019-03-19
Last Update Date
2023-04-16
Business Address
DESTA LISSANU MD
55 FRUIT ST
BOSTON, MA 02114-2621
Phone number: 617-726-9550
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Mailing Address
DESTA LISSANU MD
58 WELD HILL ST
BOSTON, MA 02130-4187
Phone number:
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