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SAMMAMISH DIABETES AND LIPID CLINIC, PLLC

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Company Details

Legal Name: SAMMAMISH DIABETES AND LIPID CLINIC, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Voluntarily Dissolved
Formation/ Registration Date: February 3rd 2007
Date of Dissolution: February 15th 2017
Expiration date: 28 Feb 2017
UBI Number: 602 692 485
ZIP code: 98074
City: Sammamish
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 3854 E LK SAMM PKWY NE, SAMMAMISH, WA, 98074-4534, UNITED STATES

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Registered Agent Information

Name Role Address
DONALD STEWART Registered Agent 3854 E LK SAMMAMISH PKWY NE, SAMMAMISH, WA, 98074-0000, UNITED STATES

Key Officers & Management

Name Role
EVA STEWART Governing Person
DONALD STEWART Governing Person

National Provider Identifier

NPI Number:
1578743290

Authorized Person:

Name:
DR. DONALD THOMAS STEWART
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
4259967087
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