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WANDERMERE OCCUPATIONAL MEDICINE PLLC

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Company Details

Legal Name: WANDERMERE OCCUPATIONAL MEDICINE PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Voluntarily Dissolved
Formation/ Registration Date: October 1st 2014
Date of Dissolution: September 13th 2021
Expiration date: 31 Oct 2021
UBI Number: 603 440 606
ZIP code: 99218
City: Spokane
County: SPOKANE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 309 E FARWELL RD STE 204, SPOKANE, WA, 99218-8207, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 816 W FRANCIS AVE # 402, SPOKANE, WA, 99205-6512, UNITED STATES

Contact Details

E-Mail: DANIEL_DEPNER@MSN.COM
Phone Number: +1 509-879-0039

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
DANIEL DEPNER Registered Agent 309 E FARWELL RD, STE 402, SPOKANE, WA, 99218-8210, UNITED STATES

Key Officers & Management

Name Role Address
DANIEL DEPNER Governing Person 5011 W ALCOTT CT, SPOKANE, WA, 99208-9141, UNITED STATES

National Provider Identifier

NPI Number:
1295114346

Authorized Person:

Name:
DANIEL J DEPNER
Role:
CLINIC DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
261QX0100X - Occupational Medicine Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
5094664798
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