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MemberID
51783
LIC
NULL
HIN
NULL
Address
33 Penn Plz Ste A
Address2
NULL
City
Bangor
STATE
ME
AssignmentStatus
NULL
Client
NULL

Affiliate

Territory
NULL
Website
NULL
RegionalSponsor
NULL
XetexCode
IN051783
SystemID
51783
ParentID
NULL
CompanyCode
Intalere

ClassOfTrade

Phone
+1.207.947.2220
Fax
+1.207.947.4073