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Client ID C000017191 Full name ທ່ານ ມິກລາພອນ ຫຸ່ມທະຈັກ
Full name(EN) Mr.
Type P Gender M Married M National ລາວ
Citizen card 02099556776 Education Birth Date Birth place
Occupation VIP No Active Yes
Company name
House No Unit Village ນ້ຳທອນ
District ປາກກະດິງ / Pakkading Province ແຂວງ ບໍລິຄຳໄຊ / Bolikhamxay P.O.Box
Telephone No Mobile No 99556776 Fax No E-Mail
Driver License Category Driver License No Date of Issue Date of Expiry