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KRUGER CLINIC ORTHOPAEDICS, P.L.L.C.

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Company Details

Legal Name: KRUGER CLINIC ORTHOPAEDICS, P.L.L.C.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: March 11th 1998
Date of Dissolution: August 3rd 2018
Expiration date: 31 Mar 2018
UBI Number: 601 850 391

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Registered Agent Information

Name Role Address
MEL R. CODD, COURT RECEIVER Registered Agent 21401 72ND AVE W, EDMONDS, WA, 98026-7702, UNITED STATES

Key Officers & Management

Name Role Address
THOMAS DEGAN Governing Person 21401 72ND AVENUE WEST, EDMONDS, WA, 98026, UNITED STATES
DAVID KUEHLE Governing Person 21401 72ND AVENUE WEST, EDMONDS, WA, 98026, UNITED STATES
WA ZHUGE Governing Person 21401 72ND AVENUE WEST, EDMONDS, WA, 98026, UNITED STATES

National Provider Identifier

NPI Number:
1548324411

Authorized Person:

Name:
BRENDA MITCHELL
Role:
BILLING MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
4257742688
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