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BURLINGTON FAMILY PRACTICE, P.L.L.P.

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Company Details

Legal Name: BURLINGTON FAMILY PRACTICE, P.L.L.P.
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY PARTNERSHIP
Category: DOMESTIC ENTITY
Status: Inactive
Formation/ Registration Date: December 4th 2001
Date of Dissolution: April 10th 2017
Expiration date: 31 Dec 2016
UBI Number: 602 165 442
ZIP code: 98233
City: Burlington
County: SKAGIT
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 16611 PETERSON RD, BURLINGTON, WA, 98233, UNITED STATES

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Registered Agent Information

Name Role Address
ERIC STARK Registered Agent 16611 PETERSON RD, BURLINGTON, WA, 98233-0000, UNITED STATES

Key Officers & Management

Name Role
MICHAEL DILLARD MD Governing Person
ERIC STARK MD Governing Person
DALE ABBOTT MD Governing Person

National Provider Identifier

NPI Number:
1982639506

Authorized Person:

Name:
MS. SHEENA GILBERT
Role:
BILLING
Phone:

Taxonomy:

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

Contacts:

Fax:
3607551405
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