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KENT CHIROPRACTIC PLLC

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Company Details

Legal Name: KENT CHIROPRACTIC PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: April 1st 2010
Date of Dissolution: September 13th 2016
Expiration date: 30 Apr 2016
UBI Number: 603 004 737

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Registered Agent Information

Name Role Address
ISLAM WARDAK Registered Agent 24612 104TH AVE SE, KENT, WA, 98030-0000, UNITED STATES

Key Officers & Management

Name Role Address
ISLAM WARDAK Governing Person 4703 219TH ST SW, MOUNTLAKE TERRACE, WA, 98043, UNITED STATES

National Provider Identifier

NPI Number:
1568037364
Certification Date:
2021-05-12

Authorized Person:

Name:
NADIM HALABI
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
111NR0200X - Radiology Chiropractor
Is Primary:
No
Selected Taxonomy:
225700000X - Massage Therapist
Is Primary:
No
Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Fax:
2538524453
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