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DR. JACLYN PHAN & ASSOCIATES, PLLC

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Company Details

Legal Name: DR. JACLYN PHAN & ASSOCIATES, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: August 2nd 2007
Date of Dissolution: January 3rd 2017
Expiration date: 31 Aug 2016
UBI Number: 602 453 624
ZIP code: 98012
City: Bothell
County: SNOHOMISH
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1912 201ST PL SE #204, BOTHELL, WA, 98012, UNITED STATES

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Registered Agent Information

Name Role Address
JACLYN PHAN Registered Agent 1014 S 320TH ST STE E, FEDERAL WAY, WA, 98003-0000, UNITED STATES

Key Officers & Management

Name Role Address
JACLYN PHAN Governing Person 1850 56TH ST NE, TACOMA, WA, 98422, UNITED STATES

National Provider Identifier

NPI Number:
1437330123

Authorized Person:

Name:
DR. JACLYN T PHAN
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
4254856813
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