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MemberID
62889
LIC
NULL
HIN
NULL
Address
458 Heymann Blvd Bldg A
Address2
NULL
City
Lafayette
STATE
LA
AssignmentStatus
NULL
Client
NULL

Affiliate

Territory
NULL
Website
NULL
RegionalSponsor
NULL
XetexCode
IN062889
SystemID
36273
ParentID
36273
CompanyCode
Intalere

ClassOfTrade

Phone
+1.337.500.1763
Fax
+1.337.266.4620