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Name:  BARLOW, JEREMY J License Number:  91576
Address:  111 E BROADWAY STE 1400
NPN:  3430776
  SALT LAKE CITY, UT 84111-5260 Issued:  4/17/2002
    Expires:  1/31/2017
Business Phone:  (801) 533-8444 License Status: 
License Type: 
Active
Non-Resident Producer
   

Lines   Issued   Status
Disability (Health)   4/17/2002   AC
Life   4/17/2002   AC
Variable   4/17/2002   AC

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Insurance Company State License Number Lines Appointment Date
BANNER LIFE INSURANCE COMPANY MD 1460 Life 12/12/2006
NORTHWESTERN MUTUAL LIFE INSURANCE COMPANY WI 93 Disability (Health), Life, Variable 4/17/2002

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