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Last Name
Rustia
First Name
Jason Joshua
Middle Name
Vasquez
Birthdate
December 7, 1987
Age
31
Street
3112 Ipil St.
Barangay
UPS2
City
Paranaque City
Country
PHILIPPINES
Zip Code
Contact number
09985783544
Procedure
10-30-2019 > OP/ REMOVAL OF BRACES REMOVAL OF STAIN = 2,000 > 2 XRAY #46 = 800 #37 = 800
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Retain Record
Yes