| 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 | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | |||||||
| Chelsey | Marissa | Thiry | Mrs. | 02/23/2002 | F | 900010502 | Whipp | Marissa | 2 | 2198 Ellen Blvd | Granville | IA | 51022 | 6522 | Sioux | 42.97 | -96.09 | 2 | 6413974481 | 8/21/2022 9:11:44 AM | Details | ||||||||
| Erick | Vance | Reffitt | Mr. | Sr. | 03/12/1969 | M | 900010503 | Vance | 2 | 7793 Kavanaugh Blvd | Beaverton | OR | 97005 | 8505 | Washington | 45.50 | -122.80 | 1 | 4582363253 | 3339 | 8/21/2022 9:11:44 AM | Details | |||||||
| Colin | Julian | Egger | Mr. | III | 07/01/1966 | M | 900010504 | Julian | 1 | 9944 Palm St | Bldg 46 | Sherman | TX | 75090 | 8609 | Grayson | 33.65 | -96.66 | 2 | 5123952734 | 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 | |||||||
| Damion | Carson | Poalino | Mr. | 05/02/1972 | M | 900010506 | Carson | 2 | 2950 Alsace St | New Orleans | LA | 70121 | 7336 | Jefferson | 29.96 | -90.16 | 1 | 9854616663 | 6595 | 8/21/2022 9:11:45 AM | Details | ||||||||
| Bryon | Roosevelt | Mitman | Mr. | 02/19/1983 | M | 900010507 | Roosevelt | 2 | 2055 West Powder Cove St | Bldg 17 | Sacaton | AZ | 85247 | 9202 | Pinal | 33.14 | -111.71 | 2 | 6021585108 | 1998 | 8/21/2022 9:11:45 AM | Details | |||||||
| Dylan | Sammie | Baskind | Mr. | V | 04/28/1959 | M | 900010508 | Sammie | 2 | 8723 Newcomb Lane | Suite 672 | Rembert | SC | 29128 | Sumter | 34.06 | -80.51 | 2 | 8034007618 | 2522 | 8/21/2022 9:11:45 AM | Details | |||||||
| Vernon | Jed | Glodowski | Mr. | Jr. | 10/07/1981 | M | 900010509 | Jed | 3 | 1647 Red Birch Cove St | Delavan | IL | 61734 | 5916 | Tazewell | 40.42 | -89.60 | 2 | 2243276336 | 4813 | 8/21/2022 9:11:45 AM | Details | |||||||
| Hilda | Lida | Detzler | Mrs. | 09/12/1982 | F | 900010510 | Comrie | Lida | 1 | 7061 Chowning Blvd | Bldg 57 | Millrift | PA | 18340 | 6325 | Pike | 41.41 | -74.75 | 2 | 4849885840 | 8/21/2022 9:11:45 AM | Details |
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