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1982878609
AUDREY VIZZACCARO
LAKE ORION, MI
NPI
1982878609
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MI 5601003044)
Enumeration Date
2008-04-14
Last Update Date
2008-04-14
Business Address
Mrs. AUDREY VIZZACCARO P.A.-C.
1261 SOUTH LAPEER RD STE 201
LAKE ORION, MI 48360
Phone number: 248-814-7546
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Mailing Address
Mrs. AUDREY VIZZACCARO P.A.-C.
1261 SOUTH LAPEER RD STE 201
LAKE ORION, MI 48360
Phone number: 248-814-7546
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