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Individual

REBECCA PROSSER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
103 N CAROLINE ST, HERKIMER, NY 13350-1716
(315) 717-0264
Mailing address
76 W MAIN ST, LITTLE FALLS, NY 13365-1327
(315) 219-7880

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
010450
NY

Other

Enumeration date
05/31/2023
Last updated
05/31/2023
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