Usually, these can be accessed from the inside of the vehicle, by removing a panel or access panel, and then a simple twist to remove the socket and bulb. Occasionally, the entire lamp assembly comes off the car, and then the bulbs can be accessed. I have done many of these on my own and friends cars over the years.
Hope this helps.
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Pennsylvania, for 60+ years, most recently, Allentown, now TV. 
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