Nevada Annual Report
Permanently Revoked

primary care of southern nevada (van wagner), pllc

Domestic Professional LLC · Entity Number LLC6517-2000 · NV Business ID NV20001066163

Formed
July 10, 2000
Annual List
Due by July 31, 2009
Managed by
Managers
Status changed
August 1, 2015

Registered agent

.Resigned

Not on file

Principal office

Not on file

Mailing address

Not on file

Officers, managers, and members

NameRoleAddress
KELLY VAN WAGNER, M.D.Manager2225 VILLAGE WALK DRIVE #270 · HENDERSON, NV 89052

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