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Details for BAGNERISE, ROQUIA TIFFANY

Agent Details
Name
BAGNERISE, ROQUIA TIFFANY 
Address
2460 CHARTRES DR APT E GASTONIA, NC 28056-6559 
Business Phone
(800) 547-5514 
Internet
 
Email
roquia.bagnerise.134333@uhc.com  
Status
Active 
Issue Date
Jul 17, 2019 
License Status Expires Number
Non-Resident Producer Active Nov 30, 2021 731276
      Accident and Hlth or Sickness Active Issued: Jul 17, 2019
Agency Affiliations City State License Number Active Date Status
HEALTH PLAN INTERMEDIARIES HOLDINGS LLC TAMPA FL 514705 Aug 08, 2019 Active
HEALTH PLAN INTERMEDIARIES HOLDINGS LLC TAMPA FL 418652 Aug 08, 2019 Active
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