Organization
FERN ANGELA CAUDLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FERN ANGELA CAUDLE (REGISTERED NURSE)
(580) 504-9976
Entity
Organization
Contact information
Practice address
150 WHIPPERWILL ST, ARDMORE, OK 73401-0644
(580) 504-9976
Mailing address
150 WHIPPERWILL ST, ARDMORE, OK 73401-0644
(580) 504-9976
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
74581
OK
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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