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MemberID
281251
LIC
NULL
HIN
NULL
Address
900 Canal Blvd Ste 3
Address2
NULL
City
Thibodaux
STATE
LA
AssignmentStatus
NULL
Client
NULL

Affiliate

Territory
NULL
Website
NULL
RegionalSponsor
NULL
XetexCode
IN281251
SystemID
218919
ParentID
218919
CompanyCode
Intalere

ClassOfTrade

Phone
+1.985.448.3353
Fax
+1.985.448.1276