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WATERBURY VISION CLINIC, LLC

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Company Details

Legal Name: WATERBURY VISION CLINIC, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: January 27th 2015
Date of Dissolution: June 3rd 2019
Expiration date: 31 Jan 2019
UBI Number: 603 472 417
ZIP code: 98405
City: Tacoma
County: PIERCE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 4505 S 19TH ST, TACOMA, WA, 98405, UNITED STATES

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Registered Agent Information

Name Role Address
TARA WATERBURY Registered Agent 12917 97TH AVE E, PUYALLUP, WA, 98373-0000, UNITED STATES

Key Officers & Management

Name Role
TARA WATERBURY Governing Person

National Provider Identifier

NPI Number:
1720478514

Authorized Person:

Name:
TARA WATERBURY
Role:
MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
152W00000X - Optometrist
Is Primary:
Yes

Contacts:

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