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MARY MARTIN ARNP NURSING SERVICES PLLC

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Company Details

Legal Name: MARY MARTIN ARNP NURSING SERVICES PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: April 20th 2007
Date of Dissolution: August 1st 2014
Expiration date: 30 Apr 2014
UBI Number: 602 718 371
ZIP code: 98516
City: Olympia
County: THURSTON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 4634 LUHR RD NE, OLYMPIA, WA, 98516, UNITED STATES

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Registered Agent Information

Name Role Address
MARY MARTIN Registered Agent 4634 LUHR RD NE, OLYMPIA, WA, 98516, UNITED STATES

Key Officers & Management

Name Role Address
MARY MARTIN Governing Person 4634 LUHR RD NE, OLYMPIA, WA, 98516, UNITED STATES

National Provider Identifier

NPI Number:
1093045064

Authorized Person:

Name:
MS. MARY MARTIN
Role:
SOLE PROPRIETOR
Phone:

Taxonomy:

Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
3604590596
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