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MOBILE WOUND HEALING WA LLC

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Company Details

Legal Name: MOBILE WOUND HEALING WA LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: January 3rd 2024
Expiration date: 31 Jan 2026
UBI Number: 605 383 747
ZIP code: 98498
City: Lakewood
County: PIERCE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 13140 COUNTRY CLUB DR SW UNIT 204, LAKEWOOD, WA, 98498-5330, UNITED STATES

Contact Details

E-Mail: LEIF2065795574@GMAIL.COM
Phone Number: +1 206-579-5574

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
LEIF ANDERSEN Registered Agent 13140 COUNTRY CLUB DR SW UNIT 204, LAKEWOOD, WA, 98498-5330, UNITED STATES

Key Officers & Management

Name Role Address
JOHN BARGREN Executor 13140 COUNTRY CLUB DR SW UNIT 204, LAKEWOOD, WA, 98498-5330, UNITED STATES
JOHN BARGREN Governing Person -
LEIF ANDERSEN Governing Person -
AMANDA WITTHAUER Governing Person -
LEIF ANDERSEN LLC Governing Person -

National Provider Identifier

NPI Number:
1619732930
Certification Date:
2024-02-15

Authorized Person:

Name:
DR. JOHN H BARGREN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207X00000X - Orthopaedic Surgery Physician
Is Primary:
Yes

Contacts:

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