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KEY BRIDGE MEDICAL CLINIC, LLC

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Company Details

Legal Name: KEY BRIDGE MEDICAL CLINIC, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: November 24th 2020
Expiration date: 30 Nov 2025
UBI Number: 604 672 486
ZIP code: 98499
City: Lakewood
County: PIERCE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 11318 BRIDGEPORT WAY SW, SUITE A, LAKEWOOD, WA, 98499-3054, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 3615 WALTHEW DR SE, LACEY, WA, 98503-4156, UNITED STATES

Contact Details

E-Mail: KEYBRIDGEMC@OUTLOOK.COM
Phone Number: +1 253-533-3838

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
KERBIE SALVADOR BARRANTES Registered Agent 3615 WALTHEW DR SE, LACEY, WA, 98503-4156, UNITED STATES

Key Officers & Management

Name Role Address
KERBIE SALVADOR BARRANTES Executor 3615 WALTHEW DR SE, LACEY, WA, 98503-4156, UNITED STATES
KERBIE BARRANTES Governing Person -

National Provider Identifier

NPI Number:
1679178099
Certification Date:
2021-01-28

Authorized Person:

Name:
KERBIE SALVADOR A BARRANTES
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
No
Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

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