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1780399485
SHAYNE BOURQUE
NASHVILLE, TN
NPI
1780399485
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TN 5391)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2023-01-17
Last Update Date
2024-05-19
Business Address
Mr. SHAYNE BOURQUE PA-C
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232-2316
Phone number: 615-322-3000
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Mailing Address
Mr. SHAYNE BOURQUE PA-C
3841 GREEN HILLS VILLAGE DR STE 200
NASHVILLE, TN 37215-2691
Phone number:
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