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DR. KWON'S FAMILY PRACTICE, INC.

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Company Details

Legal Name: DR. KWON'S FAMILY PRACTICE, INC.
Jurisdiction: WASHINGTON
Entity Type: WA PROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: December 3rd 1998
Date of Dissolution: April 1st 2014
Expiration date: 31 Dec 2013
UBI Number: 601 916 579

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Registered Agent Information

Name Role Address
ANDREW KWON Registered Agent 8820 59TH AVE SW STE 100, LAKEWOOD, WA, 98499, UNITED STATES

Key Officers & Management

Name Role Address
MARIE KWON Governing Person 20 35TH AVE NW, GIG HARBOR, WA, 98335, UNITED STATES
ANDREW KWON Governing Person 20 35TH AVE NW, GIG HARBOR, WA, 98335, UNITED STATES
MICHAEL KWON Governing Person 12004 9TH AVE CT E, TACOMA, WA, 98445, UNITED STATES

National Provider Identifier

NPI Number:
1457318107

Authorized Person:

Name:
DR. ANDREW OHJOON KWON
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2539839155
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