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MemberID
670405
LIC
NULL
HIN
NULL
Address
615 S High St
City
Caney
STATE
KS
AssignmentStatus
NULL
Client
NULL

Affiliate

Territory
NULL
Website
NULL
RegionalSponsor
NULL
XetexCode
PR670405
SystemID
670403
ParentID
605082
CompanyCode
Premier, Inc

ClassOfTrade

Phone
(620) 879-2929
Fax
(620) 879-2930
x

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