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MemberID
5752
LIC
NULL
HIN
NULL
Address
55 Basin Creek Rd
Address2
NULL
City
Butte
STATE
MT
AssignmentStatus
NULL
Client
NULL

Affiliate

Territory
NULL
Website
NULL
RegionalSponsor
NULL
XetexCode
IN005752
SystemID
5752
ParentID
NULL
CompanyCode
Intalere
Phone
+1.800.477.1067
Fax
+1.406.494.5869