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2(2)
-
Form
-99211
-
Age
4
-
Weight
8-7
9(9)
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Form
022162
-
Age
3
-
Weight
8-7
8(8)
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Form
0-13
-
Age
3
-
Weight
8-11
5(5)
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Form
-76612
-
Age
3
-
Weight
8-7
3(3)
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Form
216330
-
Age
3
-
Weight
8-7
7(7)
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Form
732307
-
Age
3
-
Weight
8-11
4(4)
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Form
943427
-
Age
10
-
Weight
8-5
6(6)
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Form
836858
-
Age
6
-
Weight
8-7
1(1)
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Form
124955
-
Age
3
-
Weight
8-7