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HARBOR INTERNAL MEDICINE PLLC

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Company Details

Legal Name: HARBOR INTERNAL MEDICINE PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: July 22nd 2002
Date of Dissolution: November 2nd 2015
Expiration date: 31 Jul 2015
UBI Number: 602 219 229

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Registered Agent Information

Name Role Address
JAMES M BROWN Registered Agent 101 E MARKET ST TE 525, ABERDEEN, WA, 98520, UNITED STATES

Key Officers & Management

Name Role
DANIEL CANFIELD Governing Person

National Provider Identifier

NPI Number:
1285759852

Authorized Person:

Name:
DR. DANIEL J CANFIELD
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
3605380807
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