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residence_city_outofstate (type: esriFieldTypeString, alias: Out of State City of Residence and State, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
office_address (type: esriFieldTypeString, alias: Select the nearest office address:, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Enter Other Office Address: Enter Other Office Address], [101 30TH ST, SPRINGFIELD, OR 97478: 101 30TH ST, SPRINGFIELD, OR 97478], [10225 E BURNSIDE ST, PORTLAND, OR 97216: 10225 E BURNSIDE ST, PORTLAND, OR 97216], ... 182 more ...)