| First Name | Middle Name | Last Name | Prefix | Suffix | Birth Date | Gender | Social Security Number | Maiden Name | Alias | Active | Address Type | Address Line1 | Address Line2 | City | State ID | Zip Code | Zip4 Code | County Name | IsPrimary | Latitude | Longitude | IsAddressActive | Phone Type | Phone Number | Extension | IsPrimaryPhone | IsPhoneActive | Created Date | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Blaine | Ismael | Boosalis | Dr. | IV | 06/04/1998 | M | 900010476 | Ismael | 1 | 721 Willow Grove Blvd | Glenns Ferry | ID | 83623 | 5826 | Elmore | 42.95 | -115.31 | 1 | 2085293451 | 9830 | 8/21/2022 9:11:41 AM | Details | |||||||
| Joan | Carson | Guderian | Dr. | 10/07/1992 | M | 900010478 | Carson | 2 | 1136 East Longview Ave | Bldg 51 | Laurel Fork | VA | 24352 | 2154 | Carroll | 36.71 | -80.54 | 2 | 7037099556 | 5076 | 8/21/2022 9:11:42 AM | Details | |||||||
| Pearl | Juana | Polen | Dr. | 07/13/1965 | F | 900010501 | Juana | 2 | 1216 Wadley Lane | Bldg 23 | Quincy | IN | 47456 | 2121 | Owen | 39.44 | -86.67 | 1 | 5744566385 | 5037 | 8/21/2022 9:11:44 AM | Details | |||||||
| Mohammad | Mike | Gulyas | Dr. | 03/29/1952 | M | 900010505 | Mike | 1 | 972 South Longleaf Lane | Suite 203 | Espanola | NM | 87532 | 2276 | Rio Arriba | 36.42 | -106.25 | 1 | 5753712234 | 5062 | 8/21/2022 9:11:45 AM | Details | |||||||
| Morton | Carson | Dimond | Dr. | Sr. | 04/01/1961 | M | 900010513 | Carson | 1 | 3115 South Hawkins Loop St | Suite 492 | San Lorenzo | CA | 94580 | 3509 | Alameda | 37.68 | -122.13 | 2 | 7077739133 | 8/21/2022 9:11:45 AM | Details | |||||||
| Ronny | Lamont | Ferran | Dr. | Sr. | 10/22/1966 | M | 900010514 | Lamont | 2 | 1298 Old Cantrell St | Suite 843 | Bedford | OH | 44146 | 3525 | Cuyahoga | 41.39 | -81.54 | 2 | 6141352303 | 8/21/2022 9:11:45 AM | Details | |||||||
| Lorrie | Carl | Rollo | Dr. | 03/30/1966 | F | 900010527 | Carl | 3 | 2006 North Bevis Lane | Suite 267 | Mobile | AL | 36660 | 2028 | Mobile | 30.66 | -88.18 | 1 | 2515895279 | 9896 | 8/21/2022 9:11:47 AM | Details | |||||||
| Ciera | Tameka | Biancardi | Dr. | 07/08/1995 | F | 900010533 | Sunniga | Tameka | 1 | 1213 Clear Lake Blvd | Dougherty | OK | 73032 | 7843 | Murray | 34.48 | -97.09 | 1 | 5805139996 | 8/21/2022 9:11:47 AM | Details | ||||||||
| Alva | Milford | Lamantagne | Dr. | 05/21/1973 | M | 900010543 | Milford | 2 | 6873 South Hyman Lane | Boys Town | NE | 68010 | 9426 | Douglas | 41.26 | -96.13 | 1 | 4026025798 | 5808 | 8/21/2022 9:11:48 AM | Details | ||||||||
| Stepanie | Roxana | Taskey | Dr. | 09/11/1965 | F | 900010561 | Iturralde | Roxana | 1 | 1272 del Tara St | Miami | FL | 33165 | 3802 | Dade | 25.83 | -80.32 | 2 | 7863785667 | 9938 | 8/21/2022 9:11:51 AM | Details |
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