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Individual
MUKSARIN BOHLING
Active
Individual
MUKSARIN BOHLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA173364
OR
363A00000X
Physician Assistant
Primary
PA60848187
WA
363AM0700X
Medical Physician Assistant
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2047312
—
WA
05
—
500690913
—
OR
Enumeration date
08/05/2015
Last updated
10/24/2018
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