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1033715610
TOMMY GENE BOURGEOIS
FRANKLIN, TN
NPI
1033715610
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TN 4366)
Enumeration Date
2020-12-08
Last Update Date
2020-12-08
Business Address
TOMMY GENE BOURGEOIS PA-C
2235 E MCEWEN DR
FRANKLIN, TN 37067-1470
Phone number: 405-285-5664
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Mailing Address
TOMMY GENE BOURGEOIS PA-C
4606 SUNDOWN DR
KINGSPORT, TN 37664-6913
Phone number: 985-870-1041
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