Name | SHANE D. ROSTERMUNDT, D.O. |
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Address | 2610 W HORIZON RIDGE PKWY STE 200 |
City | HENDERSON |
State | NV |
Zip | 89052 |
Mailing Address | 178 CRANBERRY ST |
Mailing Address 2 | 178 CRANBERRY ST |
Mailing City | ARROYO GRANDE |
Mailing State | CA |
Mailing Zip | 93420 |
Agent Type | Noncommercial Registered Agent |
Company | SHANE D. ROSTERMUNDT, D.O., P.C. |
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Entity Number | C12331-2002 |
NV Business ID | NV20021316675 |