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1760704712
MARY ELLEN VENZKE
BIG LAKE, MN
NPI
1760704712
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
372600000X Adult Companion
(Licence: MN 1055394-1-AFC)
Enumeration Date
2010-02-18
Last Update Date
2010-02-18
Business Address
-- MARY ELLEN VENZKE
19729 183RD AVENUE
BIG LAKE, MN 55309
Phone number: 763-263-1119
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Mailing Address
-- MARY ELLEN VENZKE
19729 183RD AVENUE
BIG LAKE, MN 55309
Phone number: 763-263-1119
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