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Last Name: Caburian

First Name: Brenda

Middle Name: Landrito

Birthdate: December 4, 1957

Age: 60

Street: Mayapis

Barangay: United Parañaque 2

City: Taguig

Country: Philippines

Zip Code

Contact number: 9172477916

Email

Procedure: 06-08-2018 > #36 XRAY = 500 > #36 PULPO +TF OBSERVE 3DAYS+AM REMOVAL = 1,500 > 37 AMALGCIM REMOVAL = 500 CAOH+LC MESIAL+OCCLUSAL = 800 06-29-2018 > #21 DISTAL - LC = 800 > #34 CERVICAL- LC = 500 > #35 CERVICAL - L = 500 07-24-2018 > #11 DISTAL/LINGUAL = 800 > OP = 500

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Retain Record: Yes