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SARA WAGNER DO PLLC

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Company Details

Legal Name: SARA WAGNER DO PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: November 29th 2022
Expiration date: 30 Nov 2025
UBI Number: 605 004 401
ZIP code: 98034
City: Kirkland
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 11922 98TH AVE NE, KIRKLAND, WA, 98034-4211, UNITED STATES

Contact Details

E-Mail: SARAWAGNERDO@GMAIL.COM
Phone Number: +1 425-736-5848

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
GREGORY PETRIE Registered Agent 3316 FUHRMAN AVE E STE 250, SEATTLE, WA, 98102-3800, UNITED STATES

Key Officers & Management

Name Role Address
GREGORY PETRIE Executor 3316 FUHRMAN AVE E STE 250, SEATTLE, WA, 98102-3800, UNITED STATES
SARA WAGNER Governing Person -

National Provider Identifier

NPI Number:
1962180364
Certification Date:
2023-07-11

Authorized Person:

Name:
DR. SARA WAGNER
Role:
PHYSICIAN, OWNER
Phone:

Taxonomy:

Selected Taxonomy:
204D00000X - Neuromusculoskeletal Medicine & OMM Physician
Is Primary:
Yes

Contacts:

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