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YOELI PARK PLLC

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Company Details

Name: YOELI PARK PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 30 May 2018 (7 years ago)
Financial Date End: 31 May 2026
Entity Number: 611703
Place of Formation: IDAHO
File Number: 611703
ZIP code: 83651
County: Canyon County
Principal Address: 203 7TH AVE SOUTH NAMPA, ID 83651
Mailing Address: 203 7TH AVE S NAMPA, ID 83651-3846

Agent

Name Role Address
KLINT KELLER Agent 3700 E MAN O WAR LN, NAMPA, ID 83638

Member

Name Role Address Appointed On
JASON HAMMER Member 3039 GRAND MERE DR, NAMPA, ID 83687 2021-05-14

Manager

Name Role Address Appointed On Resigned On
Kim Keller Manager 624 3RD ST S, NAMPA, ID 83651 2024-04-04 2024-04-04

National Provider Identifier

NPI Number:
1730669292

Authorized Person:

Name:
DR. JASON HAMMER
Role:
OWNER/DOCTER
Phone:

Taxonomy:

Selected Taxonomy:
261QD0000X - Dental Clinic/Center
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006232357 2025-05-04
Annual Report 0005672419 2024-04-04
Annual Report 0005175200 2023-04-03
Annual Report 0004714560 2022-04-25
Annual Report 0004282922 2021-05-14

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Date of last update: 15 May 2025

Sources: Idaho Secretary of State