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|MEDICATIONS= None | |MEDICATIONS= None | ||
|ALLERGIES & REACTIONS= None | |ALLERGIES & REACTIONS= None | ||
|SEXUAL/REPRODUCTIVE HISTORY= Previously Active, No Partners | |SEXUAL/REPRODUCTIVE HISTORY= Previously Active, No Current Partners | ||
|PAST HOSPITALIZATIONS/SERIOUS ILLNESS= None | |PAST HOSPITALIZATIONS/SERIOUS ILLNESS= None | ||
|PAST SURGICAL HISTORY= None | |PAST SURGICAL HISTORY= None |
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