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MemberID
69277
LIC
NULL
HIN
NULL
Address
6100 E Main St Ste 112
Address2
NULL
City
Columbus
STATE
OH
AssignmentStatus
NULL
Client
NULL

Affiliate

Territory
NULL
Website
NULL
RegionalSponsor
NULL
XetexCode
IN069277
SystemID
69277
ParentID
NULL
CompanyCode
Intalere

ClassOfTrade

Phone
+1.614.759.6200
Fax
+1.614.759.6443