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ROSALIA HEALTH CLINIC PLLC

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Company Details

Legal Name: ROSALIA HEALTH CLINIC PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: June 20th 2005
Date of Dissolution: October 1st 2014
Expiration date: 30 Jun 2014
UBI Number: 602 514 647
ZIP code: 99170
City: Rosalia
County: WHITMAN
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo S 703 WHITMAN AVE, ROSALIA, WA, 99170, UNITED STATES

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Registered Agent Information

Name Role Address
SUSAN V SMALL Registered Agent 703 S WHITMAN AVE, ROSALIA, WA, 99170, UNITED STATES

Key Officers & Management

Name Role Address
SUSAN SMALL Governing Person 703 S WHITMAN AVE, ROSALIA, WA, 99170, UNITED STATES
JEP EDWARDS EXECUTOR S 703 WHITMAN AVE, ROSALIA, WA, 99170, UNITED STATES
SUSAN SMALL EXECUTOR 801 N 2ND, FARMINGTON, WA, 99128, UNITED STATES

National Provider Identifier

NPI Number:
1821129776

Authorized Person:

Name:
MRS. SUSAN V SMALL
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
363LP2300X - Primary Care Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
5095234951
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