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MemberID
62254
LIC
NULL
HIN
NULL
Address
309 Regency Pkwy Ste 201
Address2
NULL
City
Mansfield
STATE
TX
AssignmentStatus
NULL
Client
NULL

Affiliate

Territory
NULL
Website
NULL
RegionalSponsor
NULL
XetexCode
IN062254
SystemID
62254
ParentID
NULL
CompanyCode
Intalere

ClassOfTrade

Phone
+1.817.477.3611
Fax
+1.469.952.2806