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WHOLE HEALTH OSTEOPATHIC MEDICINE, LLC

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Company Details

Legal Name: WHOLE HEALTH OSTEOPATHIC MEDICINE, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: April 24th 2014
Date of Dissolution: August 3rd 2015
Expiration date: 30 Apr 2015
UBI Number: 603 397 488
ZIP code: 98103
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 3931 WOODLAND PARK AVENUE N, SEATTLE, WA, 98103, UNITED STATES

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Registered Agent Information

Name Role Address
JENNIFER KLEIN Registered Agent 3931 WOODLAND PARK AVE N, SEATTLE, WA, 98103, UNITED STATES

Key Officers & Management

Name Role Address
JENNIFER KLEIN EXECUTOR 3931 WOODLAND PARK AVENUE N, SEATTLE, WA, 98103, UNITED STATES
ALISON MOTTA EXECUTOR 559 W GALENA BLVD, AURORA, IL, 60506, UNITED STATES

National Provider Identifier

NPI Number:
1326451428

Authorized Person:

Name:
DR. JENNIFER KLEIN
Role:
OWNER/MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

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