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1053468199
JUSTIN LUKE BOREN
COLUMBIA, TN
NPI
1053468199
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TN PA1296)
Enumeration Date
2007-01-04
Last Update Date
2023-08-15
Business Address
Mr. JUSTIN LUKE BOREN PA
832 WESTOVER DR STE 200
COLUMBIA, TN 38401-4843
Phone number: 931-830-3033
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Mailing Address
Mr. JUSTIN LUKE BOREN PA
410 42ND AVE N STE 400
NASHVILLE, TN 37209-3658
Phone number: 615-329-7887
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