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LIBERTY LAKE FOOT & ANKLE PLLC

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Company Details

Legal Name: LIBERTY LAKE FOOT & ANKLE PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: March 26th 2019
Date of Dissolution: August 3rd 2021
Expiration date: 31 Mar 2021
UBI Number: 604 431 119
ZIP code: 99019
City: Liberty Lake
County: SPOKANE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 23505 E APPLEWAY AVE STE 104, LIBERTY LAKE, WA, 99019-6003, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $1,918

Contact Details

E-Mail: LIBERTYLAKEFOOT@GMAIL.COM
Phone Number: +1 509-368-4671

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
KEVIN DOW Registered Agent 23505 E APPLEWAY AVE STE 104, LIBERTY LAKE, WA, 99019-6003, UNITED STATES

Key Officers & Management

Name Role Address
ROBIN HAYNES Executor 304 W PACIFIC AVE, STE 210, SPOKANE, WA, 99201-4331, UNITED STATES
KEVIN DOW Governing Person -

National Provider Identifier

NPI Number:
1154988418

Authorized Person:

Name:
KEVIN DOW
Role:
DPM
Phone:

Taxonomy:

Selected Taxonomy:
261QP1100X - Podiatric Clinic/Center
Is Primary:
Yes

Contacts:

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