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HEALTHSOURCE OF MOSES LAKE, INC.

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Company Details

Legal Name: HEALTHSOURCE OF MOSES LAKE, INC.
Jurisdiction: WASHINGTON
Entity Type: WA PROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Voluntarily Dissolved
Formation/ Registration Date: December 6th 2013
Date of Dissolution: August 17th 2018
Expiration date: 31 Dec 2018
UBI Number: 603 362 334
ZIP code: 98837
City: Moses Lake
County: GRANT
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 420 W THIRD AVE, MOSES LAKE, WA, 98837, UNITED STATES

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Registered Agent Information

Name Role Address
GREGG JONES Registered Agent 420 W THIRD AVE, MOSES LAKE, WA, 98837-0000, UNITED STATES

Key Officers & Management

Name Role
GREGG JONES Governing Person

National Provider Identifier

NPI Number:
1003212895

Authorized Person:

Name:
DR. GREGG MOYLE JONES
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
5097653891
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