Molly, thank you for posting this Q., as I've had the same thought looking at our leaf and soil tests. I wish there was a central reference table of sorts with all the ins and outs of what each nutritional value may or may not mean.
Your extension agent's comment on the low Boron makes sense given that old agricultural 'law of least', which I had to look up the actual name of: "Liebig's Law", i.e., "growth is dictated by the scarcest resource / nutrient." (thanks Wikipedia.)
FWIW, our extension agent thought our very low P was not a problem -- apparently fruit trees mostly need P when establishing their connections to the soil in the first few years of planting. So perhaps, if your fruit trees are already established, this explains why your soil was low P but your leaf P was optimum?
(That said, we decided to amend with rock phosphate b/c the extension agent had less of a holistic biologic perspective on amendments, our young trees are mixed in with the older ones, and even our 40 y/o trees could use some TLC).
Another perspective on the topic: I asked an agricultural/blueberry professor re: Blueberry soil and leaf tests. He said blueberry leaf tests were mostly (and I quote) "BS", and it is all pH pH pH. Ha! So there you go.
Mike and Brittany: ha! that is perfect. : )
Earthworks
Zone 7a in West-Central MD
Non-commercial, ~100 fruit trees, dwarf to MM106