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OLYMPIA CARDIAC SURGERY, INC., P.S.

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Company Details

Legal Name: OLYMPIA CARDIAC SURGERY, INC., P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: May 5th 1994
Date of Dissolution: December 30th 2015
Expiration date: 31 May 2016
UBI Number: 601 544 174
ZIP code: 98506
City: Olympia
County: THURSTON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 525 LILLY RD NE #200, OLYMPIA, WA, 98506, UNITED STATES

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Key Officers & Management

Name Role Address
RONALD QUINTON Governing Person 525 LILLY RD NE, SUITE 200, OLYMPIA, WA, 98506, UNITED STATES
LUIS SANTAMARINA Governing Person 525 LILLY RD NE, SUITE 200, OLYMPIA, WA, 98506, UNITED STATES

National Provider Identifier

NPI Number:
1780726414

Authorized Person:

Name:
DONNA DICKINSON
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
3604937759
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