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CONVOY UNION MEDICAL CLINIC PLLC

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Company Details

Legal Name: CONVOY UNION MEDICAL CLINIC PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: December 5th 2011
Date of Dissolution: April 1st 2016
Expiration date: 31 Dec 2015
UBI Number: 603 163 430
ZIP code: 98004
City: Bellevue
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1414 116TH AVE NE #F, BELLEVUE, WA, 98004, UNITED STATES

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Registered Agent Information

Name Role Address
JIAKUN WANG Registered Agent 1515 116TH AVE NE STE 205, BELLEVUE, WA, 98004-3811, UNITED STATES

Key Officers & Management

Name Role Address
JIAKUN WANG Governing Person 788 110TH AVE NE APT N2203, BELLEVUE, WA, 98004-8395, UNITED STATES

National Provider Identifier

NPI Number:
1760755995

Authorized Person:

Name:
ZHIQIAN WANG
Role:
MD
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

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