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WASSERMAN, MANUEL

Member Status

Active

Date of Birth

03/03/2001

Gender

Female

Current Plan Effective Date

03/03/2023 - 12/31/2029

Relationship to Subscriber

Child

10247 CROSSWIND RD
BOCA RATON, FL 33498

Member ID Card

Member ID

03/03/2001

Subscriber

WASSERMAN, SARAH

Group Number

9183844

Group Name

LORAM MAINTENANCE OF STRELLINGTON

Plan Number

366

Payer

FLBCSF