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JEANENE M. NOVER, MPT, PLLC

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Company Details

Legal Name: JEANENE M. NOVER, MPT, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: February 4th 2004
Date of Dissolution: July 3rd 2020
Expiration date: 28 Feb 2020
UBI Number: 602 363 193
ZIP code: 98370
City: Poulsbo
County: KITSAP
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 17122 LEMOLO SHORE DR NE, POULSBO, WA, 98370-8707, UNITED STATES

Contact Details

E-Mail: JEANENE@DAVINCIPT.COM
Phone Number: +1 206-755-6131

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
JEANENE M NOVER Registered Agent 840 MADISON AVE N #102, BAINBRIDGE ISLAND, WA, 98110, UNITED STATES

Key Officers & Management

Name Role Address
JEANENE M NOVER Governing Person -
JEANENE M NOVER EXECUTOR 19805 STAVANGER LOOP NE, POULSBO, WA, 98370, UNITED STATES

National Provider Identifier

NPI Number:
1700803426

Authorized Person:

Name:
JEANENE MARIE NOVER
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
Yes

Contacts:

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