# FERN ANGELA CAUDLE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043686686
- **Authorized official:** FERN ANGELA CAUDLE (REGISTERED NURSE)
- **Authorized official phone:** (580) 504-9976

## Contact information

- **Practice address:** 150 WHIPPERWILL ST, ARDMORE, OK 73401-0644
- **Practice address phone:** (580) 504-9976
- **Mailing address:** 150 WHIPPERWILL ST, ARDMORE, OK 73401-0644
- **Mailing address phone:** (580) 504-9976

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 74581 | OK | Yes |

## Other

- **Enumeration date:** 08/18/2015
- **Last updated:** 08/18/2015