MemberID
670401
LIC
NULL
HIN
NULL
Address
7410 E Sutton Dr
City
Scottsdale
STATE
AZ
AssignmentStatus
NULL
Account
NULL
Client
NULL
Affiliate
Territory
NULL
Website
NULL
RegionalSponsor
NULL
XetexCode
PR670401
SystemID
605082
ParentID
605082
CompanyCode
Premier, Inc
ClassOfTrade
Phone
(480) 948-3300
Fax
(480) 443-4944