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Individual

COLLETTE MARIE HOMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
2723 NEW SALEM HWY, MURFREESBORO, TN 37128-5253
(615) 396-6850
Mailing address
2723 NEW SALEM HWY, MURFREESBORO, TN 37128-5253

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5188
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q080207
TN
Enumeration date
06/28/2021
Last updated
06/12/2025
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