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PENINSULA STRUCTURAL MEDICINE PLLC

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Company Details

Legal Name: PENINSULA STRUCTURAL MEDICINE PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: January 25th 2016
Date of Dissolution: June 3rd 2018
Expiration date: 31 Jan 2018
UBI Number: 603 583 372
ZIP code: 98335
City: Gig Harbor
County: PIERCE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 2605 JAHN AVE NW #4, GIG HARBOR, WA, 98335, UNITED STATES

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Registered Agent Information

Name Role Address
ALYSON DUTTON Registered Agent 2605 JAHN AVE NW #4, GIG HARBOR, WA, 98335-0000, UNITED STATES

Key Officers & Management

Name Role Address
ALYSON DUTTON Governing Person 4102 52ND AVENUE CT NW, GIG HARBOR, WA, 98335-7666, UNITED STATES
ALYSON DUTTON EXECUTOR 4102 52ND AVE CT NW, GIG HARBOR, WA, 98335, UNITED STATES

National Provider Identifier

NPI Number:
1255786307

Authorized Person:

Name:
ALYSON T DUTTON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
225X00000X - Occupational Therapist
Is Primary:
Yes

Contacts:

Fax:
2536970213
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