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ALLY ANESTHESIA SERVICES PLLC

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Company Details

Legal Name: ALLY ANESTHESIA SERVICES PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Voluntarily Dissolved
Formation/ Registration Date: August 18th 2014
Date of Dissolution: May 2nd 2016
Expiration date: 31 Aug 2016
UBI Number: 603 428 914
ZIP code: 98177
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1530 NW SPRINGDALE PL, SHORELINE, WA, 98177, UNITED STATES

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Registered Agent Information

Name Role Address
DEANNA MMARTIN Registered Agent 1530 NW SPRINGDALE PL, SHORELINE, WA, 98177, UNITED STATES

Key Officers & Management

Name Role Address
DEANNA MARTIN Governing Person 1530 NW SPRINGDALE PL, SHORELINE, WA, 98177, UNITED STATES
RAELYN RAVER Governing Person 914 N 70TH ST, SEATTLE, WA, 98103, UNITED STATES

National Provider Identifier

NPI Number:
1275933962

Authorized Person:

Name:
MS. RAELYN MARIE RAVER
Role:
CRNA CO-OWNER
Phone:

Taxonomy:

Selected Taxonomy:
367500000X - Certified Registered Nurse Anesthetist
Is Primary:
Yes

Contacts:

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