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Name:John Doe
Customer Care number:98765432101

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Personal information

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Legal nameJohn Jay Doe
Preferred nameJhonny Do
Date of birthDecember 31, 1987
Sex at birthNot provided
Personal Health Number**** *** 210
GenderNot provided
PronounsNot provided
Indigenous identityNot provided


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Contact information

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Primary phone604.456.6654
Mobile phone604.456.6654
Work phoneNot provided
Email addressjoe@email.com
Mailing address1234 Main St, Surrey, BC  V5J 4B7
Temporary mailing addressNot set
Residential addressSame as mailing
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