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Individual

MRS. BUNNY ROSE HATTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
19 WATERVIEW RD LOT 17, OSWEGO, NY 13126-6328
(315) 313-2679
Mailing address
285 COUNTY ROUTE 29 LOT 2, OSWEGO, NY 13126-5897
(680) 269-0481

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0711215
NY
164W00000X
Licensed Practical Nurse
336049
NY

Other

Enumeration date
10/10/2019
Last updated
07/30/2025
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