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GENESIS CHIROPRACTIC GROUP LLC

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Company Details

Legal Name: GENESIS CHIROPRACTIC GROUP LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: February 18th 2013
Date of Dissolution: July 3rd 2017
Expiration date: 28 Feb 2017
UBI Number: 603 277 891
ZIP code: 98144
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 3756 RAINIER AVE S # D, SEATTLE, WA, 98144, UNITED STATES

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Registered Agent Information

Name Role Address
JOSEPH AYELE Registered Agent 3756 RAINIER AVE S STE D, SEATTLE, WA, 98144-6989, UNITED STATES

Key Officers & Management

Name Role Address
JOSEPH AYELE Governing Person 11410 124TH ST NE # 560, KIRKLAND, WA, 98034, UNITED STATES

National Provider Identifier

NPI Number:
1043655467

Authorized Person:

Name:
DR. MASUD S HASAN
Role:
PARTNER
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Fax:
2067250185
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