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MemberID
435949
LIC
NULL
HIN
NULL
Address
93 Magnate Dr
Address2
NULL
City
Lafayette
STATE
LA
AssignmentStatus
NULL
Client
NULL

Affiliate

Territory
NULL
Website
NULL
RegionalSponsor
NULL
XetexCode
IN435949
SystemID
435949
ParentID
NULL
CompanyCode
Intalere

ClassOfTrade

Phone
+1.337.889.5830
Fax
+1.337.889.5834