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MemberID
437608
LIC
NULL
HIN
NULL
Address
4630 Ambassador Caffery Pkwy
Address2
NULL
City
Lafayette
STATE
LA
AssignmentStatus
NULL
Client
NULL

Affiliate

Territory
NULL
Website
NULL
RegionalSponsor
NULL
XetexCode
IN437608
SystemID
437608
ParentID
NULL
CompanyCode
Intalere

ClassOfTrade

Phone
+1.337.889.3817
Fax
+1.337.889.3818