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Individual

DR. JASMIN R CABRERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3740 UTICA RIDGE RD, SUITE B, BETTENDORF, IA 52722-1657
(563) 344-7400
(563) 359-9395
Mailing address
3740 UTICA RIDGE RD, SUITE B, BETTENDORF, IA 52722-1657
(563) 344-7400
(563) 359-9395

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.119880
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036.119880
STATE LICENSE
IL
05
036119880
IL
01
349150
COVENTRY
IA
01
37559
STATE OF IOWA
IA
01
72295
WELLMARK
IA
Enumeration date
03/03/2008
Last updated
07/14/2016
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