Admin Client || Dee Karawadra

Created On May, 09 2023 11:00am ID #360 Back

Merchant (Business) DBA Name : Victory Health of Oneonta

Business Legal Name : Victory Health of Oneonta LLC

Contact Name : Jennifer Sligh

Contact Phone Number : 205-625-3621

Physical Address : 28252 State Hwy 75 #1--2

City : ONEONTA

State : AL

Country :

Zip : 35121

Email Address : [email protected]

<?xml version="1.0"?>
<object>
  <sales_number>12232233</sales_number>
  <sales_office/>
  <sales_signing_rep/>
  <irs_tax_id_type>Employer Identification Number</irs_tax_id_type>
  <irs_tax_id_no>852735341</irs_tax_id_no>
  <ownership_type>LLC</ownership_type>
  <business_incorporated>Alabama (AL)</business_incorporated>
  <business_description/>
  <mailing_address>28252 State Hwy 75 #1--2</mailing_address>
  <mailing_city>ONEONTA</mailing_city>
  <mailing_state>AL</mailing_state>
  <mailing_zip>35121</mailing_zip>
  <business_phone>205-625-3621</business_phone>
  <contact_first_name>Jennifer</contact_first_name>
  <contact_last_name>Sligh</contact_last_name>
  <contact_phone>205-625-3621</contact_phone>
  <location_address>28252 State Hwy 75 #1--2</location_address>
  <location_city>ONEONTA</location_city>
  <location_state>AL</location_state>
  <location_zip>35121</location_zip>
  <avg_ticket_amount>35</avg_ticket_amount>
  <ave_month_volume/>
  <bank_name/>
  <bank_transit_number/>
  <bank_dda_no>*********</bank_dda_no>
  <gross_vs_net/>
  <refund_policy>0</refund_policy>
  <owner1_first_name>Richard</owner1_first_name>
  <owner1_last_name>Bechert</owner1_last_name>
  <owner1_home_address>323 Branum Ln</owner1_home_address>
  <owner1_home_city>Union Grove</owner1_home_city>
  <owner1_home_state>AL</owner1_home_state>
  <owner1_home_zip>35175</owner1_home_zip>
  <owner1_home_phone>2565066610</owner1_home_phone>
  <owner1_title>owner</owner1_title>
  <owner1_ownership_perc>100</owner1_ownership_perc>
  <owner1_dob>2962-01-01</owner1_dob>
  <owner1_social_securrity_no/>
  <owner1_form_of_id>Drivers License</owner1_form_of_id>
  <owner1_number>5688373</owner1_number>
  <owner1_expired>2020-08-11</owner1_expired>
  <owner1_issuer_state>AL</owner1_issuer_state>
  <owner1_issued_date>2016-11-14</owner1_issued_date>
</object>

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