FAIRHAVEN FAMILY MEDICINE PLLC
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| Legal Name: | FAIRHAVEN FAMILY MEDICINE PLLC |
| Jurisdiction: | WASHINGTON |
| Entity Type: | WA PROFESSIONAL LIMITED LIABILITY COMPANY |
| Category: | DOMESTIC ENTITY |
| Status: | Active |
| Formation/ Registration Date: | September 9th 2021 |
| Expiration date: | 30 Sep 2025 |
| UBI Number: | 604 809 104 |
| ZIP code: | 98507 |
| County: | THURSTON |
| Home State: | WASHINGTON |
| Principal Office Street Address: |
PO BOX 257, OLYMPIA, WA, 98507-0257, UNITED STATES
|
| E-Mail: |
CKMOOREMD@HOTMAIL.COM |
| Phone Number: |
+1 360-733-2904 |
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| Name | Role | Address |
|---|---|---|
| CRAIG MOORE | Registered Agent | PO BOX 257, OLYMPIA, WA, 98507-0257, UNITED STATES |
| Name | Role | Address |
|---|---|---|
| SUZETTE MOORE | Executor | 1401 6TH ST, BELLINGHAM, WA, 98225-7057, UNITED STATES |
| CRAIG MOORE | Governing Person | 1401 6TH ST, BELLINGHAM, WA, 98225-7057, UNITED STATES |