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MemberID
670403
LIC
NULL
HIN
NULL
Address
1336 N Walnut St
City
Iola
STATE
KS
AssignmentStatus
NULL
Client
NULL

Affiliate

Territory
NULL
Website
NULL
RegionalSponsor
NULL
XetexCode
PR670403
SystemID
605082
ParentID
605082
CompanyCode
Premier, Inc
Phone
(620) 365-7580
Fax
(620) 365-6989
x

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