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          <PersonNm>JOHN R GRIGSBY</PersonNm>
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        <OfficerDirTrstKeyEmplGrp>
          <PersonNm>PHILLIP CHIAPPE</PersonNm>
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            <CityNm>EL DORADO HILLS</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>95762</ZIPCd>
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          <TitleTxt>SECRETARY</TitleTxt>
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            <CityNm>ROSEVILLE</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>95678</ZIPCd>
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          <TitleTxt>BOARD MEMBER</TitleTxt>
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          <PersonNm>JONATHAN SCHECHTER MD</PersonNm>
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            <CityNm>EL DORADO HILLS</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
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            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>95762</ZIPCd>
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            <CityNm>FOLSOM</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
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            <CityNm>ROSEVILLE</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>95678</ZIPCd>
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            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>95682</ZIPCd>
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            <CityNm>ANTELOPE</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>95843</ZIPCd>
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            <CityNm>CAMERON PARK</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>95682</ZIPCd>
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        <GrantOrContributionPdDurYrGrp>
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            <BusinessNameLine1Txt>FAIRFAX VETERINARY CLINIC</BusinessNameLine1Txt>
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            <AddressLine1Txt>2084 SIR FRANCIS DRAKE BL</AddressLine1Txt>
            <CityNm>FAIRFAX</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>94930</ZIPCd>
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        <GrantOrContributionPdDurYrGrp>
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            <CityNm>SACRAMENTO</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>95841</ZIPCd>
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