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DR. DAVID EARL, M.D. INC., P.S.

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Company Details

Legal Name: DR. DAVID EARL, M.D. INC., P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: January 4th 2000
Date of Dissolution: June 3rd 2019
Expiration date: 31 Jan 2019
UBI Number: 602 003 107

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Registered Agent Information

Name Role Address
DAVID T EARL Registered Agent 1550 S PIONEER WY STE 200, MOSES LAKE, WA, 98837-0000, UNITED STATES

Key Officers & Management

Name Role
RHONDA RODRIGUEZ Governing Person
PEGGY EARL Governing Person
DAVID EARL Governing Person

National Provider Identifier

NPI Number:
1821186511

Authorized Person:

Name:
DR. DAVID EARL
Role:
MD
Phone:

Taxonomy:

Selected Taxonomy:
261QM2500X - Medical Specialty Clinic/Center
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
5097657508
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