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TRAVELING PAIN MANAGEMENT DOCTORS PSC

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Company Details

Legal Name: TRAVELING PAIN MANAGEMENT DOCTORS PSC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: October 1st 2012
Date of Dissolution: March 3rd 2022
Expiration date: 31 Oct 2021
UBI Number: 603 239 585
ZIP code: 98391
City: Bonney Lake
County: PIERCE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 21509 60TH ST E, LAKE TAPPS, WA, 98391-8630, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $188,985

Contact Details

E-Mail: SABSBUX@GMAIL.COM
Phone Number: +1 425-390-9425

Nature of Business

Health Care, Social Assistance & Service Organization, PROFESSIONAL (PRIMARY CARE) MEDICAL SERVICES

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Registered Agent Information

Name Role Address
SCOTT BRUNNER Registered Agent 21509 60TH ST E, LAKE TAPPS, WA, 98391-8630, UNITED STATES

Key Officers & Management

Name Role
SCOTT BRUNNER Governing Person

National Provider Identifier

NPI Number:
1356682470

Authorized Person:

Name:
TRACI M MANCUSO
Role:
FAMILY NURSE PRACTITIONER
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Paycheck Protection Program

Jobs Reported:
48
Initial Approval Amount:
$494,200
Date Approved:
2020-04-12
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$494,200
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$498,871.21
Servicing Lender:
Live Oak Banking Company
Use of Proceeds:
Payroll: $494,200
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