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MemberID
670402
LIC
NULL
HIN
NULL
Address
560 Berkeley Ave
City
Orange
STATE
NJ
AssignmentStatus
NULL
Client
NULL

Affiliate

Territory
NULL
Website
NULL
RegionalSponsor
NULL
XetexCode
PR670402
SystemID
605082
ParentID
605082
CompanyCode
Premier, Inc

ClassOfTrade

Phone
(973) 672-7000
Fax
(973) 789-2526
x

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