Contact_FullName: BARCENA ROJI, LEOPOLDO
Contact_Title: MÉDICO-ESTOMATOLOGO
Contact_Organization:
Contact_StreetAddress: DIPUTACION
Contact_Address2: 10-1º
Contact_City: BILBAO
Contact_State: BIZKAIA
Contact_ZipCode: 48008
Contact_Country: SPAIN
Contact_WorkPhone: 94-4159186
Contact_HomePhone: 944630472
Contact_FAX: 944169564
Contact_Email: leo_barcena@jet.es
Contact_URL:
Personal_DateOfBirth: 1-5-51
Personal_Sex: MAN
QUOTA:
VALUTE:
MEMBERSHIP: 1998
CAMPAIGNS:
mode: value2
card: VISA
CARDNUM: XXXXXXXXXXXXXXXXXXX
DATAEXP: 31/10/00
CONFIRMMAIL: leo_barcena@jet.es
BANKTRANSFER:
MAILTRANSF: