Individual
ABLAVI SABOUTEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1212 E COLLEGE DR, MARSHALL, MN 56258-2010
(612) 616-6227
Mailing address
7635 148TH ST W # 240, APPLE VALLEY, MN 55124-7800
(612) 616-6227
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10045
MN
Other
Enumeration date
08/24/2022
Last updated
05/22/2024
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