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CORBETT FAMILY MEDICINE, P L L C

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Company Details

Legal Name: CORBETT FAMILY MEDICINE, P L L C
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: October 1st 2005
Date of Dissolution: May 1st 2017
Expiration date: 31 Oct 2016
UBI Number: 602 530 397
Home State: WASHINGTON

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Registered Agent Information

Name Role Address
ROBERT CORBETT Registered Agent 9631 N NEVADA ST #205, SPOKANE, WA, 99218-0000, UNITED STATES

Key Officers & Management

Name Role Address
ROBERT CORBETT Governing Person 9631 N NEVADA ST #205, SPOKANE, WA, 99218, UNITED STATES

National Provider Identifier

NPI Number:
1811134992

Authorized Person:

Name:
ROBERT K CORBETT JR.
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
5094660969
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