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WALL FAMILY CHIROPRACTIC, LLC

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Company Details

Legal Name: WALL FAMILY CHIROPRACTIC, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: July 3rd 2012
Date of Dissolution: December 1st 2016
Expiration date: 31 Jul 2016
UBI Number: 603 220 151
ZIP code: 98383
City: Silverdale
County: KITSAP
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 9621 MICKELBERRY RD NW #108, SILVERDALE, WA, 98383, UNITED STATES

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Registered Agent Information

Name Role Address
NATHAN WALL Registered Agent 9621 MICKELBERRY RD NW #108, SILVERDALE, WA, 98383-0000, UNITED STATES

Key Officers & Management

Name Role Address
NATHAN WALL Governing Person 9621 MICKELBERRY RD NW #108, SILVERDALE, WA, 98383, UNITED STATES
NATHAN WALL EXECUTOR 3530 NW PRINCETON LANE #202, SILVERDALE, WA, 98383, UNITED STATES

National Provider Identifier

NPI Number:
1700134137

Authorized Person:

Name:
DR. NATHAN R WALL
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
111NP0017X - Pediatric Chiropractor
Is Primary:
Yes

Contacts:

Fax:
3606925354
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