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Individual

CHERYL E MCFADDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
201 S MUSTANG RD, YUKON, OK 73099-6686
(405) 324-8170
Mailing address
2109 N MEADOWBROOK DR, ENID, OK 73701-2568
(580) 233-7680
(580) 233-7680

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0050502
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200069420 B
OK
05
200069420A
OK
Enumeration date
12/23/2005
Last updated
01/13/2009
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