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Restorative×Nutrition×Therapy709×3rd Avenue, ×Ste×101Longmont,×CO 80501(303) 5321906New×Patient×Introduction×Format:Name:Major×health×concern:Current×medications/nutritional×supplements:Dietary×intake×for×2days×prior×to appointment:Day×1Breakfast:Snack:Lunch:Snack:Dinner:Snack:Other:Day×2Breakfast:Snack:Lunch:Snack:Dinner:Snack:Other:

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