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1962500611
JED CABRERA
CHEYENNE, WY
NPI
1962500611
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WY 375)
Enumeration Date
2006-09-20
Last Update Date
2007-07-08
Business Address
Mr. JED CABRERA PA
820 EAST 17TH STREET
CHEYENNE, WY 82001-4797
Phone number: 307-632-2434
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Mailing Address
Mr. JED CABRERA PA
820 EAST 17TH STREET
CHEYENNE, WY 82001-4797
Phone number: 307-777-7911
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