Nevada Annual Report
Cancelled

provider insurance group, llc

Foreign Limited-Liability Company · Entity Number E0363712010-9 · NV Business ID NV20101580488

Formed
July 16, 2010
Annual List
Due by July 31, 2019
Managed by
Not on file
Status changed
February 11, 2019

Registered agent

C T CORPORATION SYSTEM**

701 S CARSON ST STE 200 · Carson City, NV 89701

Principal office

Not on file

Mailing address

Not on file

Officers, managers, and members

NameRoleAddress
WILLIAM M DARCEYManaging Member160 GOULD STREET SUITE 122 · NEEDHAM, MA 02494

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