| Name | SCOTT L. BARANOFF, M.D., F.A.C.S., LTD. c/o OFFICER |
|---|---|
| Address | 613 LIDO DR |
| City | BOULDER CITY |
| State | NV |
| Zip | 89005 |
| Mailing State | NV |
| Agent Type | Noncommercial Registered Agent |
| Company | SCOTT L. BARANOFF, M.D., F.A.C.S., LTD. |
|---|---|
| Entity Number | C26606-1996 |
| NV Business ID | NV19961251978 |