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Page 1: Affordable Wichita Falls Area Sedation Dentist ... · are you taking any medicine(s) including non-prescription medicine if yes, what medicine(s) are you taking have you had any abnormal

Page 2: Affordable Wichita Falls Area Sedation Dentist ... · are you taking any medicine(s) including non-prescription medicine if yes, what medicine(s) are you taking have you had any abnormal

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