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MemberID
670412
LIC
NULL
HIN
NULL
Address
205 S 10th St
City
Lamar
STATE
CO
AssignmentStatus
NULL
Client
NULL

Affiliate

Territory
NULL
Website
NULL
RegionalSponsor
NULL
XetexCode
PR670412
SystemID
670408
ParentID
605082
CompanyCode
Premier, Inc

ClassOfTrade

Phone
(719) 336-3434
Fax
(719) 336-2708
x

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