| Name | TIMOTHY D. PHIPPS |
|---|---|
| Address | 2520 HOG TOMMY ROAD |
| City | LAMOILLE |
| State | NV |
| Zip | 89828 |
| Mailing Address | P.O BOX 281328 |
| Mailing Address 2 | P.O BOX 281328 |
| Mailing City | LAMOILLE |
| Mailing State | NV |
| Mailing Zip | 89828-1328 |
| Agent Type | Noncommercial Registered Agent |
| Company | TIMOTHY D. PHIPPS, D.O., CHTD. |
|---|---|
| Entity Number | E0332622009-8 |
| NV Business ID | NV20091294463 |