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MemberID
VA2046
LIC
NULL
HIN
NULL
Address
919 S Church St
City
Smithfield
STATE
VA
AssignmentStatus
Tentative
Client
NULL
Territory
NULL
Website
NULL
RegionalSponsor
NULL
XetexCode
PRVA2046
SystemID
VA2043
ParentID
VA0021
CompanyCode
Premier, Inc

ClassOfTrade

Phone
(757) 357-3291