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Details for BACA, CHELSEY R

Agent Details
Name
BACA, CHELSEY R 
Address
7543 CRIPPLE CREEK RD NW ALBUQUERQUE, NM 87114-3538 
Business Phone
(505) 429-8569 
Internet
 
Email
cbbaca2117@gmail.com  
Status
Active 
Issue Date
Sep 18, 2018 
License Status Expires Number
Non-Resident Producer Active Aug 31, 2023 689021
      Accident and Hlth or Sickness Active Issued: Sep 18, 2018
Agency Affiliations City State License Number Active Date Status
HEALTH PLAN INTERMEDIARIES HOLDINGS LLC TAMPA FL 514705 Apr 08, 2019 Active
HEALTH PLAN INTERMEDIARIES HOLDINGS LLC TAMPA FL 418652 Apr 08, 2019 Active
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