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VAN FLEET CHIROPRACTIC P.S.

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Company Details

Legal Name: VAN FLEET CHIROPRACTIC P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Delinquent
Formation/ Registration Date: April 6th 2011
Expiration date: 30 Apr 2025
UBI Number: 603 102 349
ZIP code: 98632
City: Longview
County: COWLITZ
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1060 HUDSON ST, LONGVIEW, WA, 98632, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $3,016

Contact Details

E-Mail: CLINTVANFLEET@COMCAST.NET
Phone Number: +1 360-423-2037

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
NICHOLAS SINGLETON Registered Agent 3211 LAUREL RD, LONGVIEW, WA, 98632-5525, UNITED STATES

Key Officers & Management

Name Role Address
CLINTON VAN FLEET Governing Person 2226 CEDAR PL, LONGVIEW, WA, 98632, UNITED STATES

National Provider Identifier

NPI Number:
1619274081

Authorized Person:

Name:
MR. CLINTON W VAN FLEET JR.
Role:
CHIROPRACTOR
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Fax:
3604239320
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