Individual
MS. AUDRA M GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BACHELORS,CM
Contact information
Practice address
511 LAKE MURRAY DRIVE E., ARDMORE, OK 73401
(580) 341-0050
Mailing address
511 LAKE MURRAY DR E, ARDMORE, OK 73401-3836
(580) 341-0050
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
1741M00000X
OK
Other
Enumeration date
01/03/2014
Last updated
01/03/2014
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