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ALEXANDRE B. DEMO URA, MD PATIENT DEMOGRAPHICNAME: DATE: ADDRESS: CITY:/STATE:ZIP:PHONE: (HOME) (CELL) HEIGHT S.S.×SEX:RACE: MARTIAL STATUS: () SINGLE/FD. O. B:.ETHNICITY: () MARRIED/WEIGHT AGE:PERFORMED
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Alexandre B Demoura MD is a medical doctor specializing in a specific field of medicine.
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Alexandre B Demoura MD is required to file by the medical board or regulatory body governing his practice.
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Alexandre B Demoura MD must fill out the form with accurate and up-to-date information about his medical practice.
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