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Details for CLARK, LAMONICA GAYLE

Agent Details
Name
CLARK, LAMONICA GAYLE 
Address
16630 N REEMS RD APT 2088 SURPRISE, AZ 85374-7443 
Business Phone
(800) 328-7305 
Internet
 
Email
agentinfo@healthplanone.com  
Status
Active 
Issue Date
Sep 21, 2018 
License Status Expires Number
Non-Resident Producer Active Sep 30, 2022 689697
      Accident and Hlth or Sickness Active Issued: Sep 21, 2018
      Life Active Issued: Sep 21, 2018
Agency Affiliations City State License Number Active Date Status
HEALTH PLAN ONE LLC TRUMBULL CT 263678 Sep 21, 2018 Active
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