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CAMANO PLASTIC AND SKIN SURGERY PLLC

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Company Details

Legal Name: CAMANO PLASTIC AND SKIN SURGERY PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Voluntarily Dissolved
Formation/ Registration Date: April 8th 2021
Date of Dissolution: April 19th 2022
Expiration date: 30 Apr 2022
UBI Number: 604 742 016
ZIP code: 98282
City: Camano Island
County: ISLAND
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1283 ELGER BAY RD, CAMANO ISLAND, WA, 98282-8375, UNITED STATES

Contact Details

E-Mail: TATIANA.MARKELOV@GMAIL.COM
Phone Number: +1 541-219-9892

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
WASHINGTON REGISTERED AGENT, LLC. Registered Agent 100 N HOWARD ST STE W, SPOKANE, WA, 99201, UNITED STATES

Key Officers & Management

Name Role Address
TATIANA MARKELOV Executor 1283 ELGER BAY ROAD, CAMANO ISLAND, WA, 98282, UNITED STATES
TATIANA MARKELOV Governing Person -

National Provider Identifier

NPI Number:
1619558848
Certification Date:
2021-06-08

Authorized Person:

Name:
TATIANA MARKELOV
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
261QM2500X - Medical Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
3603600305
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