| Name | CORNELL M. CLARK M.D. |
|---|---|
| Address | 5700 NYTON DRIVE |
| City | LAS VEGAS |
| State | NV |
| Zip | 89108 |
| Mailing Address | 6170 W LAKE MEAD BLVD #336 |
| Mailing Address 2 | 6170 W LAKE MEAD BLVD #336 |
| Mailing City | LAS VEGAS |
| Mailing State | NV |
| Mailing Zip | 89108 |
| Agent Type | Noncommercial Registered Agent |
| Company | AGAPE FAMILY PRACTICE LLC |
|---|---|
| Entity Number | LLC1271-2004 |
| NV Business ID | NV20041015288 |