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EVERETT UROLOGICAL P L L C

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Company Details

Legal Name: EVERETT UROLOGICAL P L L C
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: September 12th 2003
Date of Dissolution: February 3rd 2018
Expiration date: 30 Sep 2017
UBI Number: 602 330 644

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Registered Agent Information

Name Role Address
EARL BARDIN MD Registered Agent 2103 148TH ST SE, MILL CREEK, WA, 98012-0000, UNITED STATES

Key Officers & Management

Name Role Address
EARL BARDIN Governing Person 2103 148TH ST SE, MILL CREEK, WA, 98012, UNITED STATES
BARB BARDIN Governing Person 2103 148TH ST SE, MILL CREEK, WA, 98012, UNITED STATES

National Provider Identifier

NPI Number:
1922131762

Authorized Person:

Name:
DR. EARL DAN BARDIN
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

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