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TWIN CITIES PAIN MANAGEMENT P.C.

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Company Details

Legal Name: TWIN CITIES PAIN MANAGEMENT P.C.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Inactive
Formation/ Registration Date: June 2nd 2010
Date of Dissolution: February 17th 2011
Expiration date: 30 Jun 2011
UBI Number: 603 022 343
ZIP code: 98121
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 81 CLAY ST #522, SEATTLE, WA, 98121, UNITED STATES

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Registered Agent Information

Name Role Address
TWIN CITIES PAIN MANAGEMENT Registered Agent 1254 HIGHLAND AVE, CLARKSTON, WA, 99403, UNITED STATES

Key Officers & Management

Name Role Address
WILLIAM MANNSCHRECK Governing Person 81 CLAY ST #522, SEATTLE, WA, 98121, UNITED STATES
JOHN MANNSCHRECK Governing Person 747 RIVERVIEW BLVD #B, CLARKSTON, WA, 99403, UNITED STATES
CATHERINE MANNSCHRECK Governing Person 747 RIVERVIEW BLVD #B, CLARKSTON, WA, 99403, UNITED STATES

National Provider Identifier

NPI Number:
1598071771

Authorized Person:

Name:
DR. JOHN W MANNSCHRECK
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
208VP0014X - Interventional Pain Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
5097519726
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