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STEPHEN D HAGGARD, D.P.M., P.S.

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Company Details

Legal Name: STEPHEN D HAGGARD, D.P.M., P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: February 5th 1993
Date of Dissolution: February 9th 2023
Expiration date: 28 Feb 2022
UBI Number: 601 444 445
Home State: ARKANSAS
Principal Office Street Address: Google Maps Logo 4007 SW MOLINE AVE, BENTONVILLE, AR, 72712-7504, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $2,599

Contact Details

E-Mail: DRHAGGARD@HAGGARDDPM.COM
Phone Number: +1 253-661-5686

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
JENNY BETH KIMBERLY Registered Agent 5928 S 238TH CT APT A5, KENT, WA, 98032-3703, UNITED STATES

Key Officers & Management

Name Role Address
STEPHEN HAGGARD Governing Person 78 17TH AVENUE, MILTON, WA, 98354, UNITED STATES

National Provider Identifier

NPI Number:
1861716029

Authorized Person:

Name:
STEPHEN HAGGARD
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
335E00000X - Prosthetic/Orthotic Supplier
Is Primary:
Yes

Contacts:

Fax:
2538151651
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