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SELF BALANCE MASSAGE, LLC

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Company Details

Legal Name: SELF BALANCE MASSAGE, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: March 17th 2016
Date of Dissolution: August 3rd 2018
Expiration date: 31 Mar 2018
UBI Number: 603 607 656
ZIP code: 98662
City: Vancouver
County: CLARK
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 5115 NE 94TH AVE STE D, VANCOUVER, WA, 98662, UNITED STATES

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Registered Agent Information

Name Role Address
TERESA BONAWITZ Registered Agent 13816 NW 10TH CT UNIT C, VANCOUVER, WA, 98685-0000, UNITED STATES

Key Officers & Management

Name Role Address
SANDY BEPLER Governing Person 2925 NE 115TH AVE, VANCOUVER, WA, 98682-8716, UNITED STATES
TERESA BONAWITZ Governing Person 13816 NW 10TH CT APT C, VANCOUVER, WA, 98685-2940, UNITED STATES

National Provider Identifier

NPI Number:
1609523703
Certification Date:
2022-03-08

Authorized Person:

Name:
RICHELLE MCMANN
Role:
OWNER/PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
225700000X - Massage Therapist
Is Primary:
Yes

Contacts:

Fax:
3608365659
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