Individual
DAVIS LYN GABRIELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM. D
Contact information
Practice address
3601 2ND ST S, SAINT CLOUD, MN 56301-3762
(320) 345-9821
(320) 345-9811
Mailing address
305 12TH AVE S, SARTELL, MN 56377-4710
(320) 429-0242
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
118814
MN
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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