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(972) 564-3333
| Coppell, TX Office:
(214) 296-2355
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Height
5' 0"
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6' 7"
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Other
Weight
100 Lb
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160 Lb
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220 Lb
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Other
Do you smoke?
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No
Any previous diagnosed conditions?
Yes
No
Please identify previous diagnosed conditions?
Any daily medications?
Yes
No
Please identify daily medications?
