| Name | ROBERT L. YOUNGBLOOD, M.D. |
|---|---|
| Address | 1516 SOUTH EASTERN AVENUE |
| City | LAS VEGAS |
| State | NV |
| Zip | 89104 |
| Mailing Address | 880 EAST 9400 SOUTH #111 |
| Mailing Address 2 | 880 EAST 9400 SOUTH #111 |
| Mailing City | SANDY |
| Mailing State | UT |
| Mailing Zip | 84094 |
| Agent Type | Noncommercial Registered Agent |
| Company | ROBERT L. YOUNGBLOOD, M.D., PROFESSIONAL CORPORATION |
|---|---|
| Entity Number | E0304772006-8 |
| NV Business ID | NV20061658846 |