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BLANCO FAMILY MEDICINE, PLLC

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Company Details

Legal Name: BLANCO FAMILY MEDICINE, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: June 21st 2002
Expiration date: 30 Jun 2026
UBI Number: 602 214 553
ZIP code: 98502
City: Olympia
County: THURSTON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 4825 SHELLRIDGE RD NW, OLYMPIA, WA, 98502-8898, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 3403 STEAMBOAT ISLAND RD NW # 406, OLYMPIA, WA, 98502-4876, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $2,092

Contact Details

E-Mail: BLANCOFAMILYMEDICINE@PROTONMAIL.COM
Phone Number: +1 360-352-7779

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
VIVIAN BLANCO Registered Agent 4825 SHELLRIDGE RD NW, OLYMPIA, WA, 98502-8898, UNITED STATES

Key Officers & Management

Name Role Address
VIVIAN BLANCO Governing Person 436 MCPHEE RD SW, OLYMPIA, WA, 98502-5014, UNITED STATES

National Provider Identifier

NPI Number:
1588846091

Authorized Person:

Name:
VIVIAN BLANCO
Role:
MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Paycheck Protection Program

Jobs Reported:
1
Initial Approval Amount:
$7,556.67
Date Approved:
2021-01-26
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$7,556.67
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$7,611.53
Servicing Lender:
Timberland Bank
Use of Proceeds:
Payroll: $7,551.67
Jobs Reported:
1
Initial Approval Amount:
$7,500
Date Approved:
2020-04-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$7,500
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$7,579.11
Servicing Lender:
Timberland Bank
Use of Proceeds:
Payroll: $7,500
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