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Details for KOSANOVONG, INTRACSAY

Agent Details
Name
KOSANOVONG, INTRACSAY  
Address
6836 SO RUNNING SPRINGS DRIVE WEST JORDAN, UT 84084 
Business Phone
(801) 442-8252 
Internet
 
Email
MEEGAH.KOSANOVONG@SELECTHEALTH.ORG  
Status
Active 
Issue Date
Nov 03, 2020 
License Status Expires Number
Resident Producer Active Apr 30, 2023 811504
      Accident and Hlth or Sickness Active Issued: Nov 03, 2020
Agency Affiliations City State License Number Active Date Status
No records found.
Company Affiliations City State Type Active Date
SelectHealth Inc MURRAY UT Accident and Hlth or Sickness Jan 14, 2021