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CMN SURGICAL, PLLC

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Company Details

Legal Name: CMN SURGICAL, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: October 1st 2020
Date of Dissolution: March 3rd 2022
Expiration date: 31 Oct 2021
UBI Number: 604 656 262
ZIP code: 98506
City: Olympia
County: THURSTON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 145 LILLY RD NE, OLYMPIA, WA, 98506-5028, UNITED STATES

Contact Details

E-Mail: CHRISNICHOLSMD@GMAIL.COM
Phone Number: +1 360-878-9300

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
CHRISTOPHER NICHOLS Registered Agent 145 LILLY RD NE, OLYMPIA, WA, 98506-5028, UNITED STATES

Key Officers & Management

Name Role Address
CHRISTOPHER NICHOLS Executor 145 LILLY RD NE, OLYMPIA, WA, 98506-5028, UNITED STATES
CHRISTOPHER NICHOLS Governing Person 145 LILLY RD NE, LACEY, WA, 98503, UNITED STATES

National Provider Identifier

NPI Number:
1396350765
Certification Date:
2020-09-12

Authorized Person:

Name:
CHRISTOPHER M NICHOLS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
3608789666
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