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Individual
DR. LINUS C OHAEBOSIM
Active
Individual
DR. LINUS C OHAEBOSIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05-16911
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100098690A
—
KS
01
—
4083832
AETNA
—
01
—
49202
BLUE SHIELD
KS
01
—
614790
FIRST GUARD
—
01
—
693
PHS
KS
Enumeration date
12/04/2006
Last updated
06/24/2010
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