Individual
PRECIOUS AUDREY GBAGBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1527 E LAKE ST STE 1, MINNEAPOLIS, MN 55407-6700
(612) 345-7175
Mailing address
1527 E LAKE ST STE 1, MINNEAPOLIS, MN 55407-6700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/10/2023
Last updated
02/07/2026
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