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FRED C. BOBOTH, O.D., P.S.

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Company Details

Legal Name: FRED C. BOBOTH, O.D., P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Voluntarily Dissolved
Formation/ Registration Date: January 13th 1999
Date of Dissolution: March 22nd 2019
Expiration date: 31 Jan 2019
UBI Number: 601 925 344
ZIP code: 98944
City: Sunnyside
County: YAKIMA
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1670 E ALLEN RD, SUNNYSIDE, WA, 98944-9184, UNITED STATES

Contact Details

E-Mail: FBOBOTH@GMAIL.COM
Phone Number: +1 509-882-2650

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role
DR. FRED BOBOTH Registered Agent

Key Officers & Management

Name Role Address
DR FRED BOBOTH Governing Person 1670 E ALLEN RD, SUNNYSIDE, WA, 98944, UNITED STATES

National Provider Identifier

NPI Number:
1003017476

Authorized Person:

Name:
DR. FRED C BOBOTH
Role:
OPTOMETRIC PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
152W00000X - Optometrist
Is Primary:
Yes

Contacts:

Fax:
5098824225
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