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MemberID
311073
LIC
NULL
HIN
NULL
Address
7520 Perkins Rd Ste 180
Address2
NULL
City
Baton Rouge
STATE
LA
AssignmentStatus
NULL
Client
NULL

Affiliate

Territory
NULL
Website
NULL
RegionalSponsor
NULL
XetexCode
IN311073
SystemID
311073
ParentID
NULL
CompanyCode
Intalere

ClassOfTrade

Phone
+1.225.330.6630
Fax
+1.225.757.0294