Individual
MRS. KIM M PROPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9076 NORTH RD, BRIDGEPORT, NY 13030-9662
(315) 687-2280
(315) 687-2281
Mailing address
9076 NORTH RD, BRIDGEPORT, NY 13030-9662
(315) 687-2280
(315) 687-2281
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
004736-1
NY
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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