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OLYMPIC PLASTIC SURGERY SUITE, PLLC

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Company Details

Legal Name: OLYMPIC PLASTIC SURGERY SUITE, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Inactive
Formation/ Registration Date: September 29th 2008
Date of Dissolution: September 12th 2011
Expiration date: 30 Sep 2011
UBI Number: 602 867 695
ZIP code: 98310
City: Bremerton
County: KITSAP
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 2600 CHERRY AVENUE #201, BREMERTON, WA, 98310, UNITED STATES

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Registered Agent Information

Name Role Address
GREG FULLINGTON Registered Agent 3800 NE 4TH ST, RENTON, WA, 98056, UNITED STATES

Key Officers & Management

Name Role Address
THOMAS MEEKS Governing Person 9239 ILLAHEE RD NE, BREMERTON, WA, 98311-9365, UNITED STATES

National Provider Identifier

NPI Number:
1467578393

Authorized Person:

Name:
MRS. SUZANNE M FLETCHER
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
3607921166
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