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MOD SKIN AND BODY CLINIC INCORPORATED

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Company Details

Legal Name: MOD SKIN AND BODY CLINIC INCORPORATED
Jurisdiction: WASHINGTON
Entity Type: WA PROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Voluntarily Dissolved
Formation/ Registration Date: November 7th 2013
Date of Dissolution: August 15th 2018
Expiration date: 30 Nov 2018
UBI Number: 603 335 337
ZIP code: 98031
City: Kent
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 20906 120TH PL SE, KENT, WA, 98031-2254, UNITED STATES

Contact Details

E-Mail: MODSKINANDBODYCLINIC@GMAIL.COM
Phone Number: +1 206-612-9147

Nature of Business

Retail

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Registered Agent Information

Name Role Address
CLAIR HOSEA Registered Agent 14130 JUANITA DR NE STE 110, KIRKLAND, WA, 98034-0000, UNITED STATES

Key Officers & Management

Name Role Address
POLLY TABARES Governing Person 1250 S PUGET DR #315, RENTON, WA, 98055, UNITED STATES
CLAIR GEHRT Governing Person 20906 120TH PL SE, KENT, WA, 98031, UNITED STATES
CLAIR HOSEA Governing Person 14130 JUANITA DR. NE SUIT 110, KIRKLAND, WA, UNITED STATES

National Provider Identifier

NPI Number:
1801227327

Authorized Person:

Name:
POLLY TABARES
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

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