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| Company Name: | OMNIA HEALTHCARE GROUP LLC |
| Employer identification number (EIN): | 883702526 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 507 | 2023-01-01 | MARCELLA GRAF |
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