- Vacation Travel Agents & Agencies, Lexington
- Vacuum Cleaner Repair & Service, Lexington
- Vacuum Cleaners, Lexington
- Valves, Fittings & Gears, Lexington
- Varied Menu Restaurants, Lexington
- Variety Stores, Lexington - Wholesale Merchandise
- Vascular Surgeons, Lexington - Blood Vessel Surgeons, Doctors & Physicians (Vascular Surgery)
- Vegetarian Restaurants, Lexington
- Vehicle & Trailer Storage, Lexington - Auto & Truck
- Vehicle Inspection, Lexington
- Vehicle Registration Service, Lexington
- Vending Machines, Lexington
- Vending Machines Repair & Service, Lexington
- Venetian Blind Repair & Cleaning, Lexington
- Ventilation Contractors, Lexington - Bathroom, Kitchen, Roof & Attic Ventilation
- Venture Capital Firms, Lexington
- Veterans & Military Organizations, Lexington
- Veterinarian Supplies & Equipment, Lexington - Vet Supplies
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- Veterinarians, Lexington - Veterinary Services
- Veterinarians Emergency Medicine, Lexington - Emergency Services
- Veterinarians Equine, Lexington
- Veterinarians Pharmacies & Services, Lexington
- Victory Church, Lexington
- Video & Movie Production, Lexington
- Video Conferencing, Lexington
- Video Conferencing - System Access-Rental & Lease, Lexington
- Video Tapes Copying & Duplicating Services, Lexington
- Video Tapes Duplication & Transfer Services, Lexington
- Video Tapes, DVDs & Video Games - Rental & Sales, Lexington
- Video, Television And Movies, Lexington
- Vietnamese Restaurants, Lexington
- Vinyl Flooring, Lexington
- Vinyl Repair Products, Lexington
- Vitamin, Supplements, Herbs, Diet & Health Food Stores, Lexington
- Voice Mail Service, System & Equipment, Lexington - Answering Machine
- Volunteer Workers Placement Service, Lexington
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