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Name:  BLOOM, DIANA W License Number:  272024
Address:  2620 REGATTA DR STE 102
NPN:  3215528
  LAS VEGAS, NV 89128-6892 Issued:  12/4/2007
    Expires:  5/31/2018
Business Phone:  (702) 740-8470 License Status: 
License Type: 
Active
Non-Resident Producer
   

Lines   Issued   Status
Casualty   12/4/2007   AC
Disability (Health)   12/4/2007   AC
Life   12/4/2007   AC
Property   12/4/2007   AC

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Insurance Company State License Number Lines Appointment Date
SAFETY NATIONAL CASUALTY CORPORATION MO 1717 Casualty, Property 12/4/2007

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