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MOUNTAIN VIEW MEDICAL GROUP PARTNERS IN WOMEN IS HEALTH ADULT REGISTRATION (age 18 and older) 2009 Today's Date: DO YOU HAVE MEDICARE PART B INSURANCE? YES NO If you answered YES, please DO NOT continue
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Form-mvmg-demographicforms2009-adult-obpdf is a demographic form for adults created in 2009.
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The purpose of form-mvmg-demographicforms2009-adult-obpdf is to collect demographic data on adults.
On form-mvmg-demographicforms2009-adult-obpdf, you must report personal information such as name, age, gender, and ethnicity.
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