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SOUTH SOUND MEDICAL GROUP, PLLC

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Company Details

Legal Name: SOUTH SOUND MEDICAL GROUP, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Voluntarily Dissolved
Formation/ Registration Date: May 28th 2015
Date of Dissolution: August 26th 2022
Expiration date: 31 May 2023
UBI Number: 603 511 011
ZIP code: 98501
City: Olympia
County: THURSTON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 10116 COACHMAN LN SE, OLYMPIA, WA, 98501-9731, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $1,533

Contact Details

E-Mail: JESSICA@SOUTHSOUNDMEDICALGROUP.COM
Phone Number: +1 360-556-8465

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
JESSICA M VAN FLEET-GREEN Registered Agent 10116 COACHMAN LN SE, OLYMPIA, WA, 98501-9731, UNITED STATES

Key Officers & Management

Name Role
JESSICA VAN FLEET-GREEN Governing Person

National Provider Identifier

NPI Number:
1285018432

Authorized Person:

Name:
JESSICA VAN FLEET-GREEN
Role:
OWNER/MD
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

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