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Details for WALLACE, TIFFANY KIANA

Agent Details
Name
WALLACE, TIFFANY KIANA 
Address
CATALYST360/OPTUM 4 WALNUT GROVE DR HORSHAM, PA 19044-2201 
Business Phone
(215) 653-8106 
Internet
 
Email
cclicensing@optum.com  
Status
Active 
Issue Date
May 05, 2010 
License Status Expires Number
Non-Resident Producer Active Oct 31, 2022 344053
      Accident and Hlth or Sickness Active Issued: Aug 09, 2018
      Accident & Health Inactive Issued: May 05, 2010
Agency Affiliations City State License Number Active Date Status
No records found.
Company Affiliations City State Type Active Date
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