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SEQUIM SAME DAY SURGERY, INC.

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Company Details

Legal Name: SEQUIM SAME DAY SURGERY, INC.
Jurisdiction: WASHINGTON
Entity Type: WA PROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: June 12th 1986
Date of Dissolution: November 3rd 2018
Expiration date: 30 Jun 2018
UBI Number: 600 628 919

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Registered Agent Information

Name Role Address
ROGER D OLSEN Registered Agent 777 N 5TH AVE, SEQUIM, WA, 98382-3001, UNITED STATES

Key Officers & Management

Name Role Address
CHARLES SULLIVAN Governing Person 777 N 5TH AVE, SEQUIM, WA, 98382-3001, UNITED STATES
ROGER OLSEN Governing Person 777 N 5TH AVE, SEQUIM, WA, 98382-3001, UNITED STATES
MICHAEL GASS Governing Person PO BOX 3525, SILVERDALE, WA, 98383, UNITED STATES
JOSEPH NOVAK Governing Person PO BOX 3017, PORT ANGELES, WA, 98362, UNITED STATES
MRS DONALD HEGGE Governing Person 102 A HILLTOP DR, SEQUIM, WA, 98382, UNITED STATES
KARI OLSEN Governing Person 777 N 5TH AVE, SEQUIM, WA, 98382-3001, UNITED STATES

National Provider Identifier

NPI Number:
1295790970
Link:
View on NPI website

Authorized Person:

Name:
MR. JOSEPH NOVAK
Role:
MEDICAL DIRECTOR
Phone:
3604571431

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Phone:
+1 360-582-2632
Fax:
3605822631
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