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EFTA00139342
8-054 Date of Birth: Sex: M Race: WHITE Encounter Date: 07/09/2019 12:35 Provider: MLP Facility: NYM Cosigned by MD on 07/11/2019 22:41. Bunssu of FMsons NYM CONFIDENTIAL SONY 00009441 EFTA00139346 Bureau of Prisons Health Services Inmate Local Hospital Reg #: 76318-054 Inmate Name:
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