Individual
JASON B BOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CLC
Contact information
Practice address
209 CASTLEWOOD DR STE A, MURFREESBORO, TN 37129-5163
(615) 534-2500
Mailing address
202 SUFFIELD DR, SMYRNA, TN 37167
(615) 534-2500
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/06/2011
Last updated
07/13/2013
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