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MemberID
258858
LIC
NULL
HIN
NULL
Address
124 E Main St Ste 210
Address2
NULL
City
New Iberia
STATE
LA
AssignmentStatus
NULL
Client
NULL

Affiliate

Territory
NULL
Website
NULL
RegionalSponsor
NULL
XetexCode
IN258858
SystemID
36273
ParentID
36273
CompanyCode
Intalere

ClassOfTrade

Phone
+1.337.367.1882
Fax
+1.337.367.5037