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Individual
MR. CALEB ULTIMO
Active
Individual
MR. CALEB ULTIMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3095
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7753977
AETNA
MA
01
—
Y37176
BLUE CROSS BLUE SHIELD
MA
Enumeration date
02/28/2007
Last updated
12/22/2008
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