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9(9)
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Form
372346
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Age
4
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Weight
8-11
2(2)
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Form
99201-
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Age
4
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Weight
8-7
7(7)
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Form
562543
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Age
5
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Weight
8-11
5(5)
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Form
252454
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Age
4
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Weight
8-11
10(10)
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Form
091077
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Age
5
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Weight
8-7
6(6)
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Form
109219
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Age
4
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Weight
8-7
3(3)
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Form
069610
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Age
6
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Weight
8-11
4(4)
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Form
81010-
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Age
6
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Weight
8-7
8(8)
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Form
747384
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Age
4
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Weight
8-11
1(1)
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Form
4-9109
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Age
5
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Weight
8-7
11(11)
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Form
089000
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Age
5
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Weight
8-7