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1982335238
LISA MARIE VIVACQUA
SCHAUMBURG, IL
NPI
1982335238
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 046.011633)
Enumeration Date
2022-06-17
Last Update Date
2022-06-17
Business Address
LISA MARIE VIVACQUA OD
850 E GOLF RD
SCHAUMBURG, IL 60173-4502
Phone number: 847-519-1020
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Mailing Address
LISA MARIE VIVACQUA OD
1360 CUMBERLAND CIR W
ELK GROVE VILLAGE, IL 60007-3806
Phone number: 224-616-8920
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