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Details for VILLANUEVA, NGAMTA WINYAPHAP

Agent Details
Name
VILLANUEVA, NGAMTA WINYAPHAP 
Address
9999 W KATIE AVE UNIT 1064 LAS VEGAS, NV 89147-8349 
Business Phone
(415) 965-6965 
Internet
 
Email
ngamtaw@gmail.com  
Status
Active 
Issue Date
Jan 13, 2021 
License Status Expires Number
Non-Resident Producer Active May 31, 2023 823469
      Accident and Hlth or Sickness Active Issued: Jan 13, 2021
      Life Active Issued: Jan 13, 2021
Agency Affiliations City State License Number Active Date Status
ASSURANCE IQ LLC SEATTLE WA 577394 Mar 21, 2021 Active
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