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Medical Cannabis by Shoppers TM 6941 Kennedy Road, Unit 100 Mississauga, ON L5T 2R6 www.shoppersdrugmart.ca/cannabis Fax: 18662202627 Tel: 18446332627Patient Registration Form (Please note: This form
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Mississauga on l5t 2r6 is a postal code in Mississauga, Ontario, Canada.
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