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1295846111
RICHARD DALE LENZEN
MT PROSPECT, IL
NPI
1295846111
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 046007145)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
Dr. RICHARD DALE LENZEN od
300 W GOLF RD
MT PROSPECT, IL 60056-4264
Phone number: 847-670-5540
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Mailing Address
Dr. RICHARD DALE LENZEN od
751 WOODLAND DR
ANTIOCH, IL 60002-2744
Phone number:
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