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Zbaraschuk Dental Care · Sleep Disorder Acid Reflux/GERD History Hepatitis Alcoholism Drug Use History of AIDS Other list [ Current smoker (packs per day) ) Cigar [ I Chewing Tobacco

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Page 1: Zbaraschuk Dental Care · Sleep Disorder Acid Reflux/GERD History Hepatitis Alcoholism Drug Use History of AIDS Other list [ Current smoker (packs per day) ) Cigar [ I Chewing Tobacco
Page 2: Zbaraschuk Dental Care · Sleep Disorder Acid Reflux/GERD History Hepatitis Alcoholism Drug Use History of AIDS Other list [ Current smoker (packs per day) ) Cigar [ I Chewing Tobacco
Page 3: Zbaraschuk Dental Care · Sleep Disorder Acid Reflux/GERD History Hepatitis Alcoholism Drug Use History of AIDS Other list [ Current smoker (packs per day) ) Cigar [ I Chewing Tobacco
Page 4: Zbaraschuk Dental Care · Sleep Disorder Acid Reflux/GERD History Hepatitis Alcoholism Drug Use History of AIDS Other list [ Current smoker (packs per day) ) Cigar [ I Chewing Tobacco
Page 5: Zbaraschuk Dental Care · Sleep Disorder Acid Reflux/GERD History Hepatitis Alcoholism Drug Use History of AIDS Other list [ Current smoker (packs per day) ) Cigar [ I Chewing Tobacco
Page 6: Zbaraschuk Dental Care · Sleep Disorder Acid Reflux/GERD History Hepatitis Alcoholism Drug Use History of AIDS Other list [ Current smoker (packs per day) ) Cigar [ I Chewing Tobacco
Page 7: Zbaraschuk Dental Care · Sleep Disorder Acid Reflux/GERD History Hepatitis Alcoholism Drug Use History of AIDS Other list [ Current smoker (packs per day) ) Cigar [ I Chewing Tobacco
Page 8: Zbaraschuk Dental Care · Sleep Disorder Acid Reflux/GERD History Hepatitis Alcoholism Drug Use History of AIDS Other list [ Current smoker (packs per day) ) Cigar [ I Chewing Tobacco
Page 9: Zbaraschuk Dental Care · Sleep Disorder Acid Reflux/GERD History Hepatitis Alcoholism Drug Use History of AIDS Other list [ Current smoker (packs per day) ) Cigar [ I Chewing Tobacco
Page 10: Zbaraschuk Dental Care · Sleep Disorder Acid Reflux/GERD History Hepatitis Alcoholism Drug Use History of AIDS Other list [ Current smoker (packs per day) ) Cigar [ I Chewing Tobacco
Page 11: Zbaraschuk Dental Care · Sleep Disorder Acid Reflux/GERD History Hepatitis Alcoholism Drug Use History of AIDS Other list [ Current smoker (packs per day) ) Cigar [ I Chewing Tobacco
Page 12: Zbaraschuk Dental Care · Sleep Disorder Acid Reflux/GERD History Hepatitis Alcoholism Drug Use History of AIDS Other list [ Current smoker (packs per day) ) Cigar [ I Chewing Tobacco

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