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ROBERT HERMANN, MD LLC

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Company Details

Legal Name: ROBERT HERMANN, MD LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: July 7th 2017
Date of Dissolution: December 3rd 2018
Expiration date: 31 Jul 2018
UBI Number: 604 144 354
ZIP code: 98059
City: Renton
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 12258 156TH AVE SE, RENTON, WA, 98059, UNITED STATES

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Registered Agent Information

Name Role Address
ROBERT HERMANN Registered Agent 12258 156TH AVE SE, RENTON, WA, 98059-6333, UNITED STATES

Key Officers & Management

Name Role
ROBERT HERMANN Governing Person

National Provider Identifier

NPI Number:
1982129219

Authorized Person:

Name:
ROBERT HERMANN
Role:
DOCTOR
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2535848916
Fax:
2539841079
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