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ROBERT MONGRAIN, QUIRT, GIBREE, P.C.

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Company Details

Legal Name: ROBERT MONGRAIN, QUIRT, GIBREE, P.C.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: October 24th 2022
Expiration date: 31 Oct 2025
UBI Number: 604 982 371
ZIP code: 98632
City: Longview
County: COWLITZ
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1105 14TH AVE, LONGVIEW, WA, 98632-3016, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 1200 NETWORK CENTRE DR STE 2, EFFINGHAM, IL, 62401-4637, UNITED STATES

Contact Details

E-Mail: CFOX@KCPAG.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role
CORPORATION SERVICE COMPANY Registered Agent

Key Officers & Management

Name Role Address
TIMOTHY QUIRT Governing Person -
ROBERT MONGRAIN Governing Person -
SETH GIBREE Governing Person -
TIMOTHY QUIRT INCORPORATOR 9745 LOUNSBERRY CIR, GOLDEN OAK, FL, 32836, UNITED STATES

National Provider Identifier

NPI Number:
1922713817
Certification Date:
2023-01-16

Authorized Person:

Name:
CEMYIRA MCDOUGAL
Role:
CREDENTIALING COORDINATOR
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

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