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Individual

ABIGAIL RAYNA GHYLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-S

Contact information

Practice address
15650 CEDAR AVE, APPLE VALLEY, MN 55124-7283
(952) 997-4100
(952) 997-4102
Mailing address
2115 COUNTY ROAD D E STE C100, MAPLEWOOD, MN 55109-5354
(651) 358-7020

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
13337
MN
363A00000X
Physician Assistant
Primary
13337
MN

Other

Enumeration date
02/26/2019
Last updated
11/22/2022
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