MICHAEL G. BLACKBURN, M.D., INC., P.S.
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| Legal Name: | MICHAEL G. BLACKBURN, M.D., INC., P.S. |
| Jurisdiction: | WASHINGTON |
| Entity Type: | WA PROFESSIONAL SERVICE CORPORATION |
| Category: | DOMESTIC ENTITY |
| Status: | Active |
| Formation/ Registration Date: | October 2nd 1985 |
| Expiration date: | 31 Oct 2025 |
| UBI Number: | 600 608 406 |
| ZIP code: | 98374 |
| City: | Puyallup |
| County: | PIERCE |
| Home State: | WASHINGTON |
| Principal Office Street Address: |
2608 38TH AVE SE, PUYALLUP, WA, 98374-1941, UNITED STATES
|
| E-Mail: |
DMBLACKBURN0110@GMAIL.COM |
| Phone Number: |
+1 253-845-7553 |
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| Name | Role | Address |
|---|---|---|
| MICHAEL GREGORY BLACKBURN, MD | Registered Agent | 2608 38TH AVE SE, PUYALLUP, WA 98374, PUYALLUP, WA, 98374-1941, UNITED STATES |
| Name | Role | Address |
|---|---|---|
| MICHAEL G BLACKBURN, MD | Governing Person | 2608 38TH AVENUE, SE, PUYALLUP, WA, 98374, UNITED STATES |
| DEBORAH BLACKBURN | Governing Person | 2608 38TH AVENUE, SE, PUYALLUP, WA, 98374, UNITED STATES |