Fern Angela Caudle

NPI #1043686686 in Ardmore, Oklahoma

Provider Information

NPI Number
1043686686
Entity Type
Organization
Organization Name
Fern Angela Caudle
Primary Specialty
Health Maintenance Organization
Enumeration Date
Aug 18, 2015
Last Updated
Aug 18, 2015

Practice Location

Address
150 WHIPPERWILL ST
ZIP Code
73401-0644
Phone
(580) 504-9976

Authorized Official

Name
FERN ANGELA CAUDLE
Title
REGISTERED NURSE
Phone
(580) 504-9976

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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