Agent Info:

Name	:	Barry M Kamran
License ID	:	0617751
Phone	:	(949) 791-1300
Email	:	[email protected]
Address	:	2072 Orchard Dr Newport Beach, Newport Beach, California, 92660

Life & Health

Applicant

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Billing Address same with home address

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Has used nicotine in the Last 3 Years

Yes

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Yes

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