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MemberID
31568
LIC
NULL
HIN
NULL
Address
1424 Us One
Address2
417
City
Sebastian
STATE
FL
ZIP
32958.00
AssignmentStatus
Tentative
Client
ICG
Territory
NULL
XetexCode
FC31568
SystemID
NULL
ParentID
NULL
CompanyCode
First Choice Cooperative
Phone
7724606767