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JAN L NIX, PH.D., P.S.

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Company Details

Legal Name: JAN L NIX, PH.D., P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: September 19th 2008
Date of Dissolution: January 4th 2016
Expiration date: 30 Sep 2015
UBI Number: 602 865 972
ZIP code: 98506
City: Olympia
County: THURSTON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 202 PHOENIX ST NE, OLYMPIA, WA, 98506, UNITED STATES

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Registered Agent Information

Name Role Address
JAN L NIX Registered Agent 202 PHOENIX ST NE, OLYMPIA, WA, 98506-4850, UNITED STATES

Key Officers & Management

Name Role Address
JAN NIX Governing Person 6924 PUGET BEACH RD NE, OLYMPIA, WA, 98516, UNITED STATES

National Provider Identifier

NPI Number:
1912142175

Authorized Person:

Name:
DR. JAN NIX
Role:
LICENSED CLINICAL PSYCHOLOGIST
Phone:

Taxonomy:

Selected Taxonomy:
103T00000X - Psychologist
Is Primary:
Yes

Contacts:

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