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CHAMPIONS SPORTS MEDICINE, PLLC

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Company Details

Legal Name: CHAMPIONS SPORTS MEDICINE, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: November 21st 2006
Date of Dissolution: April 3rd 2021
Expiration date: 30 Nov 2020
UBI Number: 602 671 725
ZIP code: 99202
City: Spokane
County: SPOKANE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 730 N HAMILTON ST, SPOKANE, WA, 99202-2045, UNITED STATES

Contact Details

E-Mail: PZPEARCE@HOTMAIL.COM
Phone Number: +1 509-487-4467

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
DR P Z PEARCE Registered Agent 730 NORTH HAMILTON, SPOKANE, WA, 99202-0000, UNITED STATES

Key Officers & Management

Name Role Address
PZ PEARCE Governing Person 730 N HAMILTON ST, SPOKANE, WA, 99202-2045, UNITED STATES

National Provider Identifier

NPI Number:
1073810222

Authorized Person:

Name:
DR. PATRICK Z PEARCE
Role:
OWNER/PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
Yes

Contacts:

Fax:
5094874503
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