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Individual

MYSOON AYUOB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
300 STATE AVE, FARIBAULT, MN 55021-6319
(150) 733-3330
Mailing address
3850 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 883-1000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
108617
MN
207Q00000X
Family Medicine Physician
4301104105
NY
207Q00000X
Family Medicine Physician
Primary
60020
MN

Other

Enumeration date
05/07/2013
Last updated
02/16/2021
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