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COLUMBIA BASIN MOBILE MEDICINE LLC

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Company Details

Legal Name: COLUMBIA BASIN MOBILE MEDICINE LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Voluntarily Dissolved
Formation/ Registration Date: August 12th 2019
Date of Dissolution: January 3rd 2021
Expiration date: 31 Aug 2020
UBI Number: 604 500 696
ZIP code: 99353
City: West Richland
County: BENTON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1357 PLATINUM PL, WEST RICHLAND, WA, 99353-5108, UNITED STATES

Contact Details

E-Mail: PAULSHOENP@GMAIL.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
PAUL SHOEMAKER Registered Agent 1357 PLATINUM PL, WEST RICHLAND, WA, 99353-5108, UNITED STATES

Key Officers & Management

Name Role Address
PAUL SHOEMAKER Executor 1357 PLATINUM PL, WEST RICHLAND, WA, 99353-5108, UNITED STATES
DENISE SHOEMAKER Executor 1357 PLATINUM PL, WEST RICHLAND, WA, 99353-5108, UNITED STATES
PAUL SHOEMAKER Governing Person -
DENISE SHOEMAKER Governing Person -

National Provider Identifier

NPI Number:
1821634312

Authorized Person:

Name:
PAUL SHOEMAKER
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QU0200X - Urgent Care Clinic/Center
Is Primary:
No
Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
Yes

Contacts:

Fax:
8778398911
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