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JOHN EVANS, ARNP, LLC

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Company Details

Legal Name: JOHN EVANS, ARNP, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: January 12th 2011
Date of Dissolution: May 1st 2014
Expiration date: 31 Jan 2014
UBI Number: 603 077 189
ZIP code: 99352
City: Richland
County: BENTON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 303 BRADLEY BLVD STE 100, RICHLAND, WA, 99352, UNITED STATES

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Registered Agent Information

Name Role Address
JOEL COMFORT Registered Agent 1020 N CENTER PARKWAY STE B, KENNEWICK, WA, 99336, UNITED STATES

Key Officers & Management

Name Role Address
DIANNE EVANS Governing Person 4003 ROAD 107, PASCO, WA, 99301, UNITED STATES
JOHN EVANS, ARNP Governing Person 4003 ROAD 107, PASCO, WA, 99301, UNITED STATES

National Provider Identifier

NPI Number:
1831468081

Authorized Person:

Name:
JOHN EVANS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
5096283843
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