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1861460495
JASON BOOTH
CEDAR RAPIDS, IA
NPI
1861460495
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IA 33657)
Enumeration Date
2006-03-09
Last Update Date
2007-10-25
Business Address
-- JASON BOOTH MD
3933 MOUNT VERNON RD SE
CEDAR RAPIDS, IA 52403-3869
Phone number: 319-363-8148
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Mailing Address
-- JASON BOOTH MD
PO BOX 1824
CEDAR RAPIDS, IA 52406-1824
Phone number: 319-369-4505
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