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NON SURGICAL SPINE & JOINT CLINIC P.S.

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Company Details

Legal Name: NON SURGICAL SPINE & JOINT CLINIC P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: August 9th 2011
Date of Dissolution: December 2nd 2013
Expiration date: 31 Aug 2013
UBI Number: 603 135 156

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Registered Agent Information

Name Role Address
CRAIG HAYES Registered Agent 119 N COMMERCIAL STREET, #120, BELLINGHAM, WA, 98225, UNITED STATES

Key Officers & Management

Name Role Address
GEORGE RAJ Governing Person 12 BELLWETHER WAY, SUITE 219, BELLINGHAM, WA, 98225, UNITED STATES

National Provider Identifier

NPI Number:
1083994958

Authorized Person:

Name:
DR. GEORGE S. RAJ
Role:
DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
2081P0010X - Pediatric Rehabilitation Medicine Physician
Is Primary:
No
Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
Yes

Contacts:

Fax:
3602005833
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