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1063540615
BOOMI NATHAN
CORDOVA, TN
NPI
1063540615
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AR E-5585)
Enumeration Date
2007-03-02
Last Update Date
2009-02-17
Business Address
BOOMI NATHAN MD
8366 TRONDHEIM DR
CORDOVA, TN 38018-4376
Phone number: 901-428-0694
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Mailing Address
BOOMI NATHAN MD
8366 TRONDHEIM DR
CORDOVA, TN 38018-4376
Phone number: 901-428-0694
Copy
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