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DAVID L. DICKERMAN PLLC

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Company Details

Legal Name: DAVID L. DICKERMAN PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: July 21st 2000
Date of Dissolution: December 1st 2016
Expiration date: 31 Jul 2016
UBI Number: 602 054 395

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Registered Agent Information

Name Role Address
JOE REID Registered Agent 1334 JADWIN AVE, RICHLAND, WA, 99354-0000, UNITED STATES

Key Officers & Management

Name Role Address
DAVID DICKERMAN Governing Person C/O 1334 JADWIN, RICHLAND, WA, 99354, UNITED STATES

National Provider Identifier

NPI Number:
1801073275

Authorized Person:

Name:
DR. DAVID L DICKERMAN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207L00000X - Anesthesiology Physician
Is Primary:
Yes

Contacts:

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