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Individual

JAMES K CUNNINGHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
700 E MAIN ST, ADA, OK 74820-5614
(580) 332-3936
(580) 332-3939
Mailing address
700 E MAIN ST, ADA, OK 74820-5614
(580) 332-3936
(580) 332-3939

Taxonomy

Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
OK-2031
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100761700A
OK
Enumeration date
08/08/2006
Last updated
07/27/2012
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