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 | |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Devin | Sergio | Gutrerrez | Dr. | IV | 02/05/1987 | M | 900010593 | Sergio | 1 | 2464 Eagle Glenn Cove Lane | Suite 372 | Martinsburg | WV | 25401 | 8555 | Berkeley | 39.44 | -77.95 | 1 | 3046132844 | 9424 | 8/21/2022 9:11:54 AM | Details | ||||||
Tommie | Johnathan | Morsell | Mr. | IV | 12/15/1999 | M | 900010539 | Johnathan | 2 | 7653 South Vandenberg Lane | Georgetown | SC | 29442 | 1977 | Georgetown | 33.40 | -79.23 | 2 | 8038303327 | 7184 | 8/21/2022 9:11:48 AM | Details | |||||||
Alejandro | Jacob | Oberdier | Mr. | IV | 07/27/1975 | M | 900010448 | Jacob | 2 | 5960 South Cottage Cove Lane | Beaumont | KS | 67012 | 5777 | Butler | 37.66 | -96.53 | 1 | 7851008683 | 8/21/2022 9:11:38 AM | Details | ||||||||
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 | |||||||
Donte | Jonathon | Dance | Mr. | IV | 11/13/1964 | M | 900010433 | Jonathon | 1 | 71 Velvet Ridge Blvd | Bldg 98 | Anchorville | MI | 48004 | 5357 | Saint Clair | 42.82 | -82.67 | 1 | 9895381187 | 9683 | 8/21/2022 9:11:37 AM | Details | ||||||
Hubert | Cordell | Naef | Mr. | IV | 09/21/1997 | M | 900010414 | Cordell | 2 | 4657 West Hunter Ave | Apollo Beach | FL | 33572 | 5591 | Hillsborough | 27.85 | -82.33 | 2 | 3211725732 | 380 | 8/21/2022 9:11:35 AM | Details | |||||||
Julius | Clinton | Dues | Mr. | IV | 01/24/1972 | M | 900010397 | Clinton | 2 | 1237 West Blaze Blvd | Herndon | VA | 22095 | 2274 | Fairfax | 38.83 | -77.29 | 1 | 5407555482 | 8/21/2022 9:11:33 AM | Details | ||||||||
Emmitt | Augustine | Siskin | Mr. | IV | 08/16/1963 | M | 900010372 | Augustine | 1 | 4459 South Bold Ave | Suite 686 | Colfax | IL | 61728 | 2792 | Mclean | 40.57 | -88.61 | 2 | 8475837877 | 8/21/2022 9:11:30 AM | Details | |||||||
Moshe | Porter | Waldroff | Dr. | IV | 08/11/1993 | M | 900010345 | Porter | 2 | 4108 South Carlton Lane | Suite 114 | Jessieville | AR | 71949 | 2926 | Garland | 34.71 | -93.04 | 2 | 5014610304 | 9603 | 8/21/2022 9:10:54 AM | Details | ||||||
Ruben | Douglas | Conradt | Mr. | IV | 08/05/1960 | M | 900010315 | Douglas | 2 | 7284 Alba Blvd | Suite 842 | Briggsville | AR | 72828 | Yell | 35.03 | -93.30 | 1 | 5017623286 | 8/21/2022 9:10:51 AM | Details |
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