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ID CLAIM # DUE DATE SIU # DATE REFERRAL FIRST NAME LAST NAME COMPANY ADDRESS ADDRESS CONT. CITY STATE ZIPCODE PHONE NUMBER ALT PHONE FAX NUMBER EMAIL ADDRESS TYPE OF ASSIGNMENT
567272252019-01-032018-12-14Zink-WrightEmilieS & C Claims Services, Inc.3737 S. Elizabeth St. #101IndependenceMO64057816-256-2984314-230-7003ezinkwright@scclaimsmo.comSurveillance,Background CheckDelete