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ALLIANCE PRIMARY CARE, PLLC

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Company Details

Legal Name: ALLIANCE PRIMARY CARE, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: March 4th 2015
Date of Dissolution: August 3rd 2019
Expiration date: 31 Mar 2019
UBI Number: 603 483 698
ZIP code: 99208
City: Spokane
County: SPOKANE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 203 E DALKE STE B, SPOKANE, WA, 99208, UNITED STATES

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Registered Agent Information

Name Role Address
CODY ELLEFSEN Registered Agent 7615 N F ST, SPOKANE, WA, 99208-8967, UNITED STATES

Key Officers & Management

Name Role
CODY ELLEFSEN Governing Person

National Provider Identifier

NPI Number:
1750731311

Authorized Person:

Name:
CODY ELLEFSEN
Role:
PHYSICIAN/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

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