Individual
WILLIAM B. GAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
311 N MAIN ST, LEON, KS 67074-9662
(316) 745-5061
(316) 745-5061
Mailing address
311 N MAIN ST, LEON, KS 67074-9662
(316) 745-5061
(316) 745-5061
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/15/2010
Last updated
07/15/2010
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