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BERGSTROM FAMILY EYECARE, P.S.

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Company Details

Legal Name: BERGSTROM FAMILY EYECARE, P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Voluntarily Dissolved
Formation/ Registration Date: July 1st 1970
Date of Dissolution: August 7th 2018
Expiration date: 31 Jul 2018
UBI Number: 600 024 606

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Registered Agent Information

Name Role Address
ALEXANDER BALDWIN Registered Agent 950 E JEWETT BLVD, WHITE SALMON, WA, 98672-0000, UNITED STATES

Key Officers & Management

Name Role Address
DEBORAH SNEED Governing Person PO BOX 870, WHITE SALMON, WA, 98672, UNITED STATES
ALEXANDER BALDWIN Governing Person PO BOX 2452, WHITE SALMON, WA, 98672, UNITED STATES

National Provider Identifier

NPI Number:
1184795684
Certification Date:
2022-06-09

Authorized Person:

Name:
DR. ALEXANDER BALDWIN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
332H00000X - Eyewear Supplier
Is Primary:
Yes

Contacts:

Fax:
5094932023
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