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JON M. PETTIBON, D.C., INC., P.S.

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Company Details

Legal Name: JON M. PETTIBON, D.C., INC., P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: July 13th 1979
Date of Dissolution: July 31st 2014
Expiration date: 31 Jul 2014
UBI Number: 600 343 582

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Registered Agent Information

Name Role Address
JON M PETTIBON Registered Agent 3837 S 12TH ST, TACOMA, WA, 98405, UNITED STATES

Key Officers & Management

Name Role Address
JON PETTIBON Governing Person 3837 S 12TH ST, TACOMA, WA, 98405, UNITED STATES

National Provider Identifier

NPI Number:
1659644672

Authorized Person:

Name:
JON M PETTIBON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Fax:
2537523504
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