GAVIN MITCHELL ASHBURN

ST LOUIS PARK, MN
NPI1982141800
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MN  12324)
Enumeration Date2017-01-30
Last Update Date2021-03-12
Business Address
Mr. GAVIN MITCHELL ASHBURN PA-C
3931 LOUISIANA AVE S
ST LOUIS PARK, MN 55426
Phone number: 952-993-1748
Mailing Address
Mr. GAVIN MITCHELL ASHBURN PA-C
8170 33RD AVE S # MS 21110Q
BLOOMINGTON, MN 55425-4516
Phone number:
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