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Individual
NICHOLE CASTO
Active
Individual
NICHOLE CASTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC28482
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629219126
GROUP NPI
CA
01
—
DC28482
CHIROPRACTIC LICENSE
CA
01
—
ZZZ53912Y
BLUE SHIELD
CA
Enumeration date
10/06/2006
Last updated
05/21/2020
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