| 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 | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Valrie | Georgene | Decillis | Dr. | 12/21/1967 | F | 900010599 | Georgene | 2 | 524 East Aberdeen St | Milaca | MN | 56353 | 1767 | Mille Lacs | 45.90 | -93.62 | 1 | 5074025080 | 8/21/2022 9:11:55 AM | Details | |||||||||
| Karyn | Gussie | Copelan | Dr. | 05/14/1979 | F | 900010597 | During | Gussie | 2 | 260 Covington Lane | Honeyville | UT | 84314 | 1814 | Box Elder | 41.65 | -112.10 | 1 | 3855631278 | 5289 | 8/21/2022 9:11:54 AM | Details | |||||||
| Gail | Nickolas | Mcferran | Dr. | 06/24/1997 | M | 900010595 | Nickolas | 1 | 1884 West Vinewood Blvd | Oyster Bay | NY | 11771 | 5947 | Nassau | 40.75 | -73.60 | 1 | 6468260355 | 8/21/2022 9:11:54 AM | Details | |||||||||
| 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 | ||||||
| Dong | Edwin | Ouimet | Dr. | IV | 11/07/1971 | M | 900010589 | Edwin | 1 | 8877 55th Blvd | Suite 144 | Chambersburg | IL | 62323 | Pike | 39.78 | -90.75 | 1 | 6186333374 | 7453 | 8/21/2022 9:11:54 AM | Details | |||||||
| Luella | Frances | Goonez | Dr. | 03/18/1983 | F | 900010580 | Frances | 3 | 5274 South Christa St | Bldg 19 | Saint Paul | MN | 55107 | Ramsey | 44.93 | -93.09 | 2 | 6519421910 | 8/21/2022 9:11:53 AM | Details | |||||||||
| Keitha | Giselle | Xiao | Dr. | 06/26/1985 | F | 900010583 | Giselle | 3 | 853 Southshore Dr | Suite 466 | Otho | IA | 50569 | 8283 | Webster | 42.44 | -94.22 | 1 | 5156801920 | 8/21/2022 9:11:53 AM | Details | ||||||||
| Mike | Henry | Linnen | Dr. | Sr. | 11/13/1956 | M | 900010578 | Henry | 2 | 3598 Pot Blvd | Mineral Springs | NC | 28108 | Union | 34.92 | -80.64 | 2 | 9192553611 | 3455 | 8/21/2022 9:11:52 AM | Details | ||||||||
| Danelle | Makeda | Saine | Dr. | 06/10/1954 | F | 900010570 | Makeda | 3 | 649 South Rahling Dr | Suite 469 | Shrewsbury | MA | 01545 | 7838 | Worcester | 42.29 | -71.72 | 2 | 3512493165 | 4338 | 8/21/2022 9:11:51 AM | Details | |||||||
| Felice | Cyndi | Prendes | Dr. | 08/19/2001 | F | 900010572 | Cyndi | 3 | 4842 Campbell Blvd | Bldg 97 | Atoka | TN | 38004 | 9305 | Tipton | 35.45 | -89.81 | 1 | 9011604598 | 1622 | 8/21/2022 9:11:52 AM | Details |
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