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SEAN R. WHITE, M.D., P.S.

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Company Details

Legal Name: SEAN R. WHITE, M.D., P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: March 12th 2009
Expiration date: 31 Mar 2026
UBI Number: 602 906 532
ZIP code: 98563
City: Montesano
County: GRAYS HARBOR
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 501 W PIONEER AVE, MONTESANO, WA, 98563-4323, UNITED STATES
Principal Office Mailing Address: Google Maps Logo PO BOX 711, MONTESANO, WA, 98563, UNITED STATES

Contact Details

E-Mail: DOCTORWHITE14@GMAIL.COM
Phone Number: +1 360-591-8043

Nature of Business

Health Care, Social Assistance & Service Organization, HEALTH CARE FACILITY

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Registered Agent Information

Name Role Address
SEAN WHITE Registered Agent 501 W PIONEER AVE, MONTESANO, WA, 98563-4323, UNITED STATES

Key Officers & Management

Name Role
SEAN R. WHITE Governing Person
SEAN WHITE Governing Person

National Provider Identifier

NPI Number:
1689027328

Authorized Person:

Name:
DR. SEAN RAE WHITE
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
3606379686
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