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Electronic Records Express
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User Id:

DOEJOHN2

SSA Id:

5VYBB8DEYA

Role:

Individual End User

Status:

Active

* First Name:

Middle Name:

* Last Name:

Department:

Position:

* Office Phone:

Ext:

Cell Phone:

Ext:

Fax 1:

Ext:

Fax 2:

Ext:

* Primary Email:

Alternate Email: