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GOLD CREEK VITALITY, PLLC

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Company Details

Legal Name: GOLD CREEK VITALITY, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: September 19th 2024
Expiration date: 30 Sep 2025
UBI Number: 605 616 219
ZIP code: 98115
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 7203 WOODLAWN AVE NE, SEATTLE, WA, 98115-5335, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 7515 SUNNYSIDE AVE N, SEATTLE, WA, 98103-4942, UNITED STATES

Contact Details

E-Mail: AL13GROSS@GMAIL.COM

Nature of Business

MEDICAL PRACTICE

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Registered Agent Information

Name Role Address
ALAN GROSS Registered Agent 7517 SUNNYSIDE AVE N, SEATTLE, WA, 98103, UNITED STATES

Key Officers & Management

Name Role Address
ALAN GROSS Governing Person -
ALAN GROSS EXECUTOR 7517 SUNNYSIDE AVE N, SEATTLE, WA, 98103, UNITED STATES

National Provider Identifier

NPI Number:
1376350041
Certification Date:
2024-12-16

Authorized Person:

Name:
ALAN GROSS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QH0100X - Health Service Clinic/Center
Is Primary:
Yes

Contacts:

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