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CAMACHO CHIROPRACTIC CLINIC, LLC

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Company Details

Legal Name: CAMACHO CHIROPRACTIC CLINIC, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: September 15th 2020
Date of Dissolution: February 3rd 2023
Expiration date: 30 Sep 2022
UBI Number: 604 540 354
ZIP code: 98930
City: Grandview
County: YAKIMA
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 403 N EUCLID ST, GRANDVIEW, WA, 98930, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 307 DOUGLAS ST, GRANDVIEW, WA, 98930, UNITED STATES

Contact Details

E-Mail: CAMACHOCHIRO509@GMAIL.COM
Phone Number: +1 509-305-5163

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
JUAN CAMACHO Registered Agent 127 FRONTIER WAY SW, MATTAWA, WA, 99349-2092, UNITED STATES

Key Officers & Management

Name Role Address
JUAN CAMACHO Executor 127 FRONTIER WAY SW, DESERT AIRE, WA, 99349, UNITED STATES
JUAN CAMACHO Governing Person 127 FRONTIER WAY SW, DESERT AIRE, WA, 99349, UNITED STATES

National Provider Identifier

NPI Number:
1174122527
Certification Date:
2020-10-17

Authorized Person:

Name:
DR. JUAN RAMON CAMACHO
Role:
OWNER/CHIROPRACTOR
Phone:

Taxonomy:

Selected Taxonomy:
225700000X - Massage Therapist
Is Primary:
No
Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Fax:
5092037664
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