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MemberID
435542
LIC
NULL
HIN
NULL
Address
400 Polly Ln Ste 160
Address2
NULL
City
Lafayette
STATE
LA
AssignmentStatus
NULL
Client
NULL

Affiliate

Territory
NULL
Website
NULL
RegionalSponsor
NULL
XetexCode
IN435542
SystemID
36273
ParentID
36273
CompanyCode
Intalere

ClassOfTrade

Phone
+1.337.500.1300
Fax
+1.337.406.8042