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PARKVIEW PEDIATRICS, INC.

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Company Details

Legal Name: PARKVIEW PEDIATRICS, INC.
Jurisdiction: WASHINGTON
Entity Type: WA PROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: November 12th 1997
Date of Dissolution: March 31st 2017
Expiration date: 30 Nov 2016
UBI Number: 601 831 812

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Registered Agent Information

Name Role Address
JOHN BROSS Registered Agent 615 S DIVISION ST, MOSES LAKE, WA, 98837-3800, UNITED STATES

Key Officers & Management

Name Role Address
JILL BROSS Governing Person 615 S DIVISION ST, MOSES LAKE, WA, 98837-3800, UNITED STATES
JOHN BROSS Governing Person 615 S DIVISION ST, MOSES LAKE, WA, 98837-3800, UNITED STATES

National Provider Identifier

NPI Number:
1780809244

Authorized Person:

Name:
DR. JILL A DUDIK BROSS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
302R00000X - Health Maintenance Organization
Is Primary:
Yes

Contacts:

Fax:
5097659407
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