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Lead Verification Details

Securely captured and verified lead information

This lead has been verified and consent recorded.

Contact Information

First Name

GERALDINE

Last Name

DEDIVTIS

ZIP Code

10598

State

NY

Date of Birth

1945-11-11

Verification Log

TokenLT-MVGSQPNN-DSGIZ6
Submitted10/20/2026, 2:46:36 PM
IP Address58.65.217.146
Time on Form318s
Consent✓ Recorded