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1891790531
LISA M.T. WISEMAN
MEDINA, OH
NPI
1891790531
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: OH 4976 T1846)
Enumeration Date
2005-06-17
Last Update Date
2007-07-09
Business Address
Dr. LISA M.T. WISEMAN OD
3609 MEDINA RD
MEDINA, OH 44256-8181
Phone number: 800-571-2261
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Mailing Address
Dr. LISA M.T. WISEMAN OD
3081 PONDSFORD DR
MEDINA, OH 44256-6897
Phone number: 330-721-7559
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