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JEFFREY WONG, M.D., LLC

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Company Details

Legal Name: JEFFREY WONG, M.D., LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Inactive
Formation/ Registration Date: November 22nd 2008
Date of Dissolution: March 1st 2011
Expiration date: 30 Nov 2010
UBI Number: 602 880 893
ZIP code: 98520
City: Aberdeen
County: GRAYS HARBOR
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1412 ROBERT GRAY BLVD, ABERDEEN, WA, 98520, UNITED STATES

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Registered Agent Information

Name Role Address
JEFFREY WONG Registered Agent 1412 ROBERT GRAY BLVD, ABERDEEN, WA, 98520, UNITED STATES

Key Officers & Management

Name Role Address
JEFFREY WONG Governing Person 1412 ROBERT GRAY BLVD, ABERDEEN, WA, 98520, UNITED STATES

National Provider Identifier

NPI Number:
1881849073

Authorized Person:

Name:
DR. JEFFREY H WONG
Role:
MANAGING MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
207L00000X - Anesthesiology Physician
Is Primary:
Yes

Contacts:

Fax:
5185610179
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