Nevada Annual Report
Permanently Revoked

provider management corporation

Domestic Corporation · Entity Number C25079-1997 · NV Business ID NV19971319193

Formed
November 10, 1997
Annual List
Due by November 30, 2004
Managed by
Not on file
Status changed
December 1, 2010

Registered agent

.Resigned

Not on file

Principal office

Not on file

Mailing address

Not on file

Officers, managers, and members

NameRoleAddress
GEZ AGOLLIPresident7310 SMOKE RANCH RD STE K · LAS VEGAS, NV 89128
MICHAEL GRAMAZIOSecretary251 JEANELL DR. · CARSON CITY, NV 89703
GEZ AGOLLITreasurer7310 SMOKE RANCH RD STE K · LAS VEGAS, NV 89128

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