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MemberID
NULL
LIC
XZEI
HIN
NULL
Address
1174 E Home Rd
Address2
City
Springfield
STATE
OH
ZIP
45503.00
AssignmentStatus
Tentative
Client
VHA
Territory
NULL
XetexCode
NOVXZEI
SystemID
805302
ParentID
805302
CompanyCode
Novation

ClassOfTrade

Phone
(937) 398-0354