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ANJILLIA DIBAUM, LLC

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Company Details

Legal Name: ANJILLIA DIBAUM, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: February 23rd 2009
Date of Dissolution: July 3rd 2018
Expiration date: 28 Feb 2018
UBI Number: 602 902 322
ZIP code: 98107
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 5340 BALLARD AVE NW, SEATTLE, WA, 98107, UNITED STATES

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Registered Agent Information

Name Role Address
JILL BAUMGARDNER Registered Agent 5340 BALLARD AVE NW, SEATTLE, WA, 98107-4060, UNITED STATES

Key Officers & Management

Name Role Address
ANGELA BAUMGARDNER Governing Person 4163 BEACH DR SW, SEATTLE, WA, 98116-3590, UNITED STATES

National Provider Identifier

NPI Number:
1538585781

Authorized Person:

Name:
MISS ANGELA MAE BAUMGARDNER
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
103TP2701X - Group Psychotherapy Psychologist
Is Primary:
No
Selected Taxonomy:
133N00000X - Nutritionist
Is Primary:
No
Selected Taxonomy:
171100000X - Acupuncturist
Is Primary:
No
Selected Taxonomy:
175F00000X - Naturopath
Is Primary:
No
Selected Taxonomy:
225700000X - Massage Therapist
Is Primary:
No
Selected Taxonomy:
261QC1500X - Community Health Clinic/Center
Is Primary:
Yes

Contacts:

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