Individual
ANDRAOUS CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2893 W 112TH ST S, JENKS, OK 74037-2404
(918) 857-2057
Mailing address
2893 W 112TH ST S, JENKS, OK 74037-2404
(918) 857-2057
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/28/2026
Last updated
05/28/2026
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