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C. Physical Data:
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A. Master Personal Detailed Record:
C. Physical Data:
D. Board Certifications:
F. Medical License/Registrations
G. Hospital Affiliations:
H. Hospital Privileges:
I. Office Addresses:
J. Group Practice & Employment:
K. Medical School:
L. Medical Training:
M. Military Medical Training:
N. Professional Medical References:
O. Professional Associations:
P. Professional Liability Carrier:
Q. Disclosure questions:
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Physical_id
Master_id
Eye Color:
Gender:
Hair Color:
Height:
Weight:
Race:
Unique Physical Marks:
Distinctive Physical Marks:
1
tim2
Blue/Green
Male
Blond/Gray
6'
234 pounds
White
Scar on right and left knees, Right and Left Shoulder
More scars
2
tim2
Blue/Green
Male
Blond/Gray
5' 11"
234 pounds
White
Scar on right and left knees, Right and Left Shoulder
More scars
3
tim2
Blue/Green
Male
Blond/Gray
5' 11"
234 pounds
White
Scar on right and left knees, Right and Left Shoulder
More scars
4
tim2
Blue/Green
Male
Blond/Gray
5' 11"
234 pounds
White
Scar on right and left knees, Right and Left Shoulder
More scars
5
tim2
Blue/Green
Male
Blond/Gray
5' 11.5"
234 pounds
White
Scar on right and left knees, Right and Left Shoulder
More scars
6
1
1
1
1
1
1
1
1
1
7
1
1
1
1
1
1
1
1
1
8
1
1
1
1
1
1
1
1
1
9
1
1
1
1
1
1
1
1
1
10
1
1
1
1
1
1
1
1
1
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Physical_id
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Master_id
Eye Color:
Gender:
Male
Femail
Hair Color:
Height:
Weight:
Race:
Unique Physical Marks:
Distinctive Physical Marks: