BACKCOUNTRY DERMATOLOGY, PLLC
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| Legal Name: | BACKCOUNTRY DERMATOLOGY, PLLC |
| Jurisdiction: | WASHINGTON |
| Entity Type: | WA PROFESSIONAL LIMITED LIABILITY COMPANY |
| Category: | DOMESTIC ENTITY |
| Status: | Active |
| Formation/ Registration Date: | March 25th 2021 |
| Expiration date: | 31 Mar 2026 |
| UBI Number: | 604 735 915 |
| ZIP code: | 98513 |
| City: | Olympia |
| County: | THURSTON |
| Home State: | WASHINGTON |
| Principal Office Street Address: |
6248 W SARAZEN ST SE, OLYMPIA, WA, 98513-8312, UNITED STATES
|
| Principal Office Mailing Address: |
1950 BLACK LAKE BLVD SW, OLYMPIA, WA, 98512-5651, UNITED STATES
|
| E-Mail: |
MODLINKATY@GMAIL.COM |
| Phone Number: |
+1 402-670-0611 |
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| Name | Role | Address |
|---|---|---|
| KATY MODLIN | Registered Agent | 6248 W SARAZEN ST SE, OLYMPIA, WA, 98513-8312, UNITED STATES |
| Name | Role | Address |
|---|---|---|
| JOHN MORTON | Executor | 1950 BLACK LAKE BLVD SW, OLYMPIA, WA, 98512-5651, UNITED STATES |
| KATY MODLIN | Governing Person | - |