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1952513996
MARY ELLEN (NMN) LAKE
COLORADO SPRINGS, CO
NPI
1952513996
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: CO 709188)
Enumeration Date
2007-05-03
Last Update Date
2007-07-08
Business Address
-- MARY ELLEN (NMN) LAKE LMT, CNMT
2020 W COLORADO AVE SUITE 101
COLORADO SPRINGS, CO 80904-3882
Phone number: 719-660-1686
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Mailing Address
-- MARY ELLEN (NMN) LAKE LMT, CNMT
656 GLEN EYRIE CIR
COLORADO SPRINGS, CO 80904-2139
Phone number: 719-578-3012
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