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JESSICA PIERCE, M.D., PS

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Company Details

Legal Name: JESSICA PIERCE, M.D., PS
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: August 28th 2009
Date of Dissolution: January 3rd 2017
Expiration date: 31 Aug 2016
UBI Number: 602 951 187
ZIP code: 98520
City: Aberdeen
County: GRAYS HARBOR
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1006 NORTH H ST, ABERDEEN, WA, 98520, UNITED STATES

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Key Officers & Management

Name Role Address
JESSICA PIERCE Governing Person 1006 NORTH H ST , 3RD FLOOR, ABERDEEN, WA, 98520, UNITED STATES

National Provider Identifier

NPI Number:
1962736991

Authorized Person:

Name:
DR. JESSICA TUCKER PIERCE
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
3605376322
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