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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 |