Individual
BRIDGET HURLBUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19 HODSKIN ST, CANTON, NY 13617-1175
(315) 379-1445
Mailing address
412 DISHAW RD, CHASE MILLS, NY 13621-3151
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
494855
NY
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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