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MMP 2
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Personal information |
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| First name: | John |
| Preferred first name: | Jock |
| Last name: | Doe |
| Date of birth: | January 1, 1987 |
| Personal Health Number (PHN): | *** *** 214 |
Contact information |
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| Home phonenumber: | 567.987.8764 |
| Mobile phone number: | -- |
| Work phone number: | 604.445.5566 |
| Extension: | 6052 |
| Email address: | joe@email.com |
Mailing address |
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| Address line 1: | 123 Main Street |
| Address line 2: | -- |
| City: | Victoria |
| Province: | British Columbia |
| Postal code: | E1E 1A1 |
| Country: | Canada |
Temporary mailing address |
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| From: | July 22, 2022 |
| To: | August 22, 2022 |
| Address line 1: | 123 Main Street |
| Address line 2: | -- |
| City: | Seattle |
| State: | Washington |
| ZIP code: | 98104 |
| Country: | United States |
Email notifications |
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| Receive notifications: | No |