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Individual

MR. GARY WILLIAM HAINKE I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
971 E WICHITA AVE, RUSSELL, KS 67665-2444
(316) 400-3533
Mailing address
9110 W RYAN ST, WICHITA, KS 67205-2144
(316) 772-3475

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
10/18/2024
Last updated
08/25/2025
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