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DentalPro™ 1.0v
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DentalPro Patients
(
.txt
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Wrap
FileMaker Pro Database
|
1992-08-12
|
174KB
|
1,748 lines
Paul@
|HBAM2001MAY84
Doris
Gerald
Joseph
Kathryn
Kerry
Larry
Librado
Linda
Marion
Patrick
Phillip
Ralph
Ralston
Robert
Roger
Rolyn
Rosemary
Stuart
Teena
Terry
Veronica
8/12/92
ADDRESS
BIRTH DAYS
COMMENTS
R CITY FIVE
L CITY FOUR
JTY FOUR
JITY FOUR
JCITY FOUR
JCITY FOUR
JTY FOUR
JITY FOUR
JITY FOUR
JCITY FOUR
JITY FOUR
JCITY FOUR
J CITY FOUR
J CITY FOUR
JITY FOUR
JCITY FOUR
JCITY FOUR
J CITY FOUR
JITY FOUR
JITY ONE
CITY SEVEN
CITY SIX
CITY THREE
CITY TWO
DATE ESTABLISHED
EIGHT IH
EIGHT MI
FIVE IH
FIVE MI
FOUR IH
FOUR MI
HEALTH PROBLEMS
HOH LAST NAME
HOH MI
HOME PHONE
INSURANCE CO.
MATCH
MED. ADDRESS
l MED. CITY
m MED. NAME
MED. PHONE
MED. STATE
MED. ZIP
MED. ZIP
oD. ZIP
o STATE
MED. ZIP
MED. ZIP
oMED. ZIP
MED. ZIP
MED. ZIP
MED. ZIP
oMED. ZIP
oOOL SIX
SCHOOL TEN
SCHOOL THREE
SCHOOL TWO
SEVEN IH
SEVEN MI
, SEX EIGHT
SEX FIVE
SEX FOUR
SEX NINE
SEX ONE
SEX SEVEN
SEX SIX
SEX TEN
% SEX THREE
SEX TWO
Home PhoneB
Work PhoneB
ork PhoneB
Family Member #B
A Layout #1B
Head of Household
E Last Name
Switch to Find by Date
Print Date List
Head of Household
Relationship
to Emp\Sub
Bachechi
Bachechi
hechi
Bearden
arden
Beimer
eimer
Beimer
Beimer
eimer
Beimer
eimer
eimer
Cheraz
Circle
Cristobal
Espanola
Hendrix
Kentucky
Maderia
Richfeild
Ridgecrest
Rosemont
Southeast
Tanoan
Vermejo
Albuquerque
Rancho
Tijeras
|Bertha
Bonnie
Brett
Bryan
Camilla
Camille
Carmel
Carol
Carolina
Carolyn
Carter
Casey
Head of Household
E Last Name
Address
City, St. & Zip
No. of Patients
Dental Name
Address
City, St. & Zip
E Med. Name
Work Phone
Employee\Subscriber Name
Emp\Sub
Birth Date
E.Emp. (Company) Name, Address, City, State, Zip
Group #
Relationship
to Emp\Sub
Is there
other
Insurance?
Insurance Co.
Health Problems
First Name
If Yes
Click Here
Date EstablishedB
Family Member 1st NameB
Family Member 1st NameB
Three IHB
Three IHB
Two IHB
Three IHB
@'A Layout #1
A Layout #1B
Print Mail Labels
Helvetica
Pro 1.0F!
Pro 1.0I
t US Letter A4 Letter
US Legal
International Fanfold
Computer Paper
Envelope (#10)
els^23456789 123456789 123456789 123456789 123456789 123456789 123456789 123456789 123456789 12 12K
Main Dictionary
User Dictionary
Maxtor 80
rBg n
Maxtor 80
HoH MIB
Female
emale
Female
Female
emale
emale
Sex SixB
Female
Sex SixB
Female
Sex SixB
Female
Sex SixB
Female
Sex SixB
Sex SixB
#A Sex EightB
Sex NineB
Sex TenB
Head of Household 1st NameB
HoH Last NameB
AddressB
CityB
Dr. Sei Set Up ParametersM
Albuquerque
StateB
Dr. Sei Set Up ParametersM
Head of Household
E Last Name
Home Phone
Work Phone
Date Established
Family
Members
A,If Full Time Student
School City
A,If Full Time Student
School City
City
YA Sub. CityB
Dr. Sei Set Up ParametersM
Albuquerque
Sub. StateB
Dr. Sei PatientsM
Sub. ZipB
Dr. Sei Patientsentsny) NameB
Emp. (Company) AddressB
Emp. (Company) CityB
Emp. (Company) StateB
Emp. (Company) ZipB
Group #B
Dental NameB
Dental AddressB
Dental CityB
Dental StateB
A Next
Data Entry
A Insurance
Mailing Labels
@MA Main Menu
Data Entry Printing Form
Find By Date
List-2nd
Comments
Start
Layout #10
Prev.
A Omit
Phone
Phone
TaxableB
MatchB
CommentsB
Subscriber's EmployerB
Sub\Emp AddressB
Sub\Emp CityB
Dr. Sei Set Up Parameters
Sub\Emp StateB
Dr. Sei Set Up Parameters
Sub\Emp ZipB
b\Emp ZipB
HoH SS#B
Family Member MIB
Birth DaysB
BD EightB
BD EightB
7BD EightB
BD EightB
BD EightB
BD EightB
7 EightB
BD EightB
BD EightB
7BD EightB
BD EightB
BD EightB
BD EightB
7BD EightB
7D SevenB
BD EightB
BD SixB
BD SevenB
BD EightB
BD SixB
BD SevenB
BD EightB
BD SixB
BD SevenB
BD EightB
7SevenB
BD EightB
STATE
SUB. ADDRESS
X SUB. CITY
SUB. LAST NAME
SUB. STATE
SUB. ZIP
SUBSCRIBER'S EMPLOYER
SUB\EMP ADDRESS
SUB\EMP CITY
SUB\EMP STATE
SUB\EMP ZIP
TAXABLE
TAXABLE
Carmel
Carter
Curtis
Curtis
Rolyn
Cheraz
Circle
Espanola
Kentucky
Maderia
Rosemont
Southeast
Tanoan
Albuquerque
87104
87106
87110
87111
HD4Q
TOTAL FAMILY MEMBERS
TOTAL FOUND
WORK PHONE
Helvetica
StuartB
CampbellC
5555 Street AddressD
AlbuquerqueE
87111G
269-6799H
883-7735M
1/1/80P
Stuart
Camille
Kyle[
Female
Female
Malef
1/20/43
3/28/43
6/4/69
7/25/75
Sandia High
Albuquerque
3703 Cheraz NE
Albuquerque
87111
467-66-9528
3/28/43
^ Design, Printing & Distribution
5555 Street Address
Albuquerque
87190
123-456-789
Spouse
Child
Child
Campbell
National
National
Helvetica
Branom
Bridges
Brown
Burdge
Burns
Burwinkle
Butler
Cacciatore
Campbell
Carey
Carter
Cermak
Chavez
Childress
Civerola
Clammuro
Smith
Smith
Boland
Return to Main Menu
Switch to Mailing Layout
Mailing Layout
Switch to Mailing Layout
Mailing Layout
525-74-8056/39307 0001
8296H
881-0949
4111-A Louisiana NE
462-70-4587
467-66-9528
47-4395
525-74-8600
Address
City, St. & Zip
Phone
Phone
Group Numbers
E/Is Patient Covered by Another Plan of Benefits?
First Name
Dental
Medical
data entry
E Main
Home Phone
E Med. Name
Emp\Sub
Birth Date
Helvetica
Work Phone
SchoolsB
School CitysB
City TwoB
City TwoB
City TwoB
Fonth (BD Ten), Day (BD Ten), Year (Today)),1,0)
8#7%"
School OneB
City OneB
School TwoB
City TwoB
ThreeB
City ThreeB
School FourB
JA City FourB
School FiveB
LA City FiveB
School SixB
City SixB
School SevenB
City SevenB
School EightB
Employee\Subscriber NameB
Sub. AddressB
Dr. Sei Patients Sei PatientsDr. Sei Patients
Dr. Sei Patients
Dr. Sei Patients
Dr. Sei Patients
Dr. Sei Patients ZipB
Emp\Sub SS#B
Emp\Sub Birth DateB
Emp. (Company) NameB
Emp. (Company) AddressB
Emp. (Company) CityB
Emp. (Company) StateB
Emp. (Company) ZipB
Group #B
Dental NameB
Dental AddressB
Dental CityB
Dental StateB
ntal StateB
DATE ESTABLISHED
DENTAL ADDRESS
DENTAL CITY
DENTAL NAME
DENTAL PHONE
DENTAL STATE
DENTAL ZIP
EMP. (COMPANY) ADDRESS
EMP. (COMPANY) CITY
EMP. (COMPANY) NAME
EMP. (COMPANY) STATE
EMP. (COMPANY) ZIP
EMPLOYEE\SUBSCRIBER NAME
EMP\SUB BIRTH DATE
]IRTH DATE
]BIRTH DATE
] BIRTH DATE
]IRTH DATE
] BIRTH DATE
]IRTH DATE
]IRTH DATE
]IRTH DATE
]IRTH DATE
EMP\SUB SS#
FIVE IH
FIVE MI
FOUR IH
FOUR MI
GROUP #
GROUP NUMBERS
Albuquerque
Paul@
Fleenor@
Matteucci@
5555@
Street@
Albuquerque
87106@
269-6799@
883-7735@
David@
Doris@
Kyle@
Doris@
Casey
Casey
Casey
Casey
Casey
Casey
Hendrix
87124@
City@
Corp@
Dental ZipB
kA Med. NameB
Med. AddressB
mA Med. CityB
Dr. Sei Set Up Parameters
Med. StateB
Dr. Sei Set Up Parameters
Med. ZipB
Med. PhoneB
Dental PhoneB
Group NumbersB
Relationship to Emp\SubB
Child
Spouse
Other
Sub. Last NameB
Rel. to Emp\Sub SevenB
Rel. to Emp\Sub EightB
Rel. to Emp\Sub NineB
OTHER INS. PLAN
PATIENT NUMBER
REL. TO EMP\SUB NINE
REL. TO EMP\SUB SEVEN
~REL. TO EMP\SUB SEVEN
~REL. TO EMP\SUB SEVEN
~UB SEVEN
~B SEVEN
~UB SEVEN
~B SEVEN
SCHOOL EIGHT
SCHOOL FIVE
SCHOOL FOUR
SCHOOL NINE
SCHOOL ONE
SCHOOL SEVEN
SCHOOL SIX
SCHOOL TEN
SCHOOL THREE
SCHOOL TWO
SEVEN IH
SEVEN MI
, SEX EIGHT
SEX FIVE
SEX FOUR
SEX NINE
SEX ONE
SEX SEVEN
SEX SIX
SEX TEN
% SEX THREE
SEX TWO
EMP\SUB SS#
FAMILY MEMBER 1ST NAME
FAMILY MEMBER MI
FAMILY MEMBER SS NUMBER
GROUP #
GROUP NUMBERS
HEAD OF HOUSEHOLD 1ST NAME
rFOUR MI
GROUP #
GROUP NUMBERS
Print Defined Patient List
Family
Members
A)If Full Time Student
School City
Employee\Subscriber Name
Emp\Sub
Birth Date
E-HoH (Company) Name, Address, City, State, Zip
Group #
Relationship
to Emp\Sub
Is there
other Insurance?
Insurance Co.
A Main MenuB
Head of Household
E Last Name
Patient No.
Work Phone
Date Established
y's Date
Insurance Co.B
A`Met Life - Mt. Bell
Brokerage Service
Met Life - Sandia Labs
National
Delta Dental of NM
BC - BS
Health ProblemsB
Other Ins. PlanB
Total Family MembersB
Total FoundB
Patient NumberB
Family Member SS NumberB
Starting NumberB
Starting NumberB
RELATIONSHIP TO EMP\SUB
SCHOOL CITYS
SCHOOLS
STARTING NUMBER
SCHOOLS
SCHOOLS
SCHOOLS
HOOLS
CHOOLS
CHOOLS
HOOLS
HOOLS
CHOOLS
SEX TEN
SEX TEN
SEX TEN
SEX TEN
SEX TEN
SEX TEN
SEX TEN
% SEX THREE
SEX TWO
123-456-789
Other
Female
AIDentalPro
(505) 881-0949
P.O. Box Box 3828
Albuquerque, New Mexico 87190
City, St. & Zip
Patient No.
AIDentalPro
(505) 881-0949
P.O. Box Box 3828
Albuquerque, New Mexico 87190
Labels
Albuquerque
Albuquerque
Delta@
Before@
Shot@
62gd@
DATE ESTABLISHED
EMP\SUB SS#
HEALTH PROBLEMS
OTHER INS. PLAN
RELATIONSHIP TO EMP\SUB
STATE
TODAY'S DATE
Helvetica
Emp\Sub SS#B
Birth DateB
Emp. (Company) NameB
Emp. (Company) AddressB
Emp. (Company) CityB
Dr. Sei Set Up ParametersM
Albuquerque
Emp. (Company) StateB
Dr. Sei Set Up ParametersM
Emp. (Company) ZipB
Group #B
Dental NameB
Dental AddressB
Dental CityB
Dr. Sei Set Up Parameters
Dental StateB
First Name
If Yes
Click Here
List-2ndB
A InsuranceB
Dental
Medical
To Order DentalPro
This program is copyrighted
, but the source code is available to allow for futher customization.
The list price is $375.00 For a working version where layouts can be edited butD
define fields & Scripting is locked.
The list price is $749.00 complete with source code.
Dealer and developer inquires invited.
Please send $749.00 for the complete package or $375.00 for the complete w
Data EntryB
Blood Pressure
Helvetica
Helvetica
Helvetica
Helvetica
Helvetica
Helvetica
Helvetica
Date Established
Today's Date
View Patient by Last Name
Delete
Delete
Found
E Next
Prev.
List of Name, Add. & Ph.
4. Mailing Labels = Name & Add.
Delete
Delete
Found
E Next
Prev.
Layouts available:
1. Patient Info. = Data Input Form of Patient
2. Ins info = Data Input of Other Insurance
3. List = Patient List of Name, Add. & Ph.
4. Mailing Labels = Name & Add.
ports
5. Print all Mailing Labels
6. Print Defined set of Mailing Labels,
sorted by zip code
7. Print All Patients, Alpha
8. Print Defined List, Alpha
9. Print Data En
d set of Mailing Labels, sorted by zip code
EVFor what date range would you like a list of call backs (or other follow-up activity)?
E Main
Cftry for Defined Patient
10. View or Print Patient List by Date
11. Write a Letter and Print it
. Print All Patients, Alpha
8. Print Defined List, Alpha
9. Print Data Entry for DefinC
ed Patient
Print Master List
For today's patients entered, enter today's date in the field below.
For this week's patients entered, type the first day of the week, an ellipsis (...), and the last day of the week. EXAMPLE: 11/5/90...1B
1/11/90
For this month's patients entered, type the first day of the month, an ellipsis (...) and the last day of the month. EXAMPLE: 12/1/90...12/31/90
For all patients entered, type the greater than siC*gn (>) and today's date. EXAMPLE: >5/1/90
ational Dental
Gout, Hi Blood Pressure
1167-100067-10000000000000000000
1167-10000000000000000000000000000000001167-10000000000000000000000000000000
1167-100000000000000000000000000000000000000000000000000000000000
N67-1000
N-1000
N-1000
Unoin
Print Defined Patient List
data entry
A,Print All Patients
Alphabetically, in a list
View All
Patients List
Print Patient List
by Date
Print Defined Patient List
Print All Mailing Labels
Pressure
onal Dental
Gout, Hi Blood Pressure
ent List
Print All Mailing Labels
Print Defined Patient List
Blood Pressure
DentalPro
Dental Pro
Demo 1.0v
DPD Software
Sales information (505) 881-0949
Techinical Support (505) 269-6799
Thank you for looking at DentalPro
. This program is a working demo, you will not be able edit or delete any of the layouts, define fields or Scripting without purchasing a copy.
Paul@
Ruth@
Doris@
8184@
Maderia@
Albuquerque
87198-8184@
RGx%P@
Address
Data Entry Printing FormB
ing FormB
Pobox
Richfield
Ridgecrestdr
Robin
Rosemont
Saddle
Southeast
Stallian
Standford
Stevens
Tanoan
Topeka
Towne
Trail
Valencia
Woodwind
Albuquerque
Rancho
Tijeras
CommentsB
CommentsB
Pressure
Family Member 1st Name
Phone
Print
Patient List
Family Member 1st Name
Phone
Page ##
Date Printed //
Patient List Continued
E Main
data entry
Head of Household
ontinued
E Patient #
E Patient #
AIDentalPro
(505) 881-0949
P.O. Box Box 3828
Albuquerque, New Mexico 87190
Phone
Head of Household
Comments
Print
E Main
data entry
Comments
Print
E Main
data entry
RGx%P
ia7)0
Todays Date
Birth
Days
Dental Name
Address
City, St. & Zip
E Med. Name
Address
City, St. & Zip
Phone
Phone
Group Numbers
E/Is Patient Covered by Another Plan of Benefits?
Dental
Medical
E Main
Phone
Campbell
Helvetica
Times
Geneva
DATE ESTABLISHED:
data entry
E Main
Index
AIDentalPro
(505) 881-0949
P.O. Box Box 3828
Albuquerque, New Mexico 87190
Helvetica
Times
Geneva
Helvetica
Times
Geneva
Helvetica
Times
Geneva
Helvetica
Times
Geneva
Helvetica
Times
Geneva
Find & Pause
Phone
Phone
e Co.
Printing
Retired
Richards
Sandia
Sandis
Seimens
Sysmic
4111-a
Louisiana
Mateo
Sierra
Albuquerque
Dr. Sei Set Up Parameters
Address, City, State, Zip
Group #
Relationship
to Emp\Sub
Is there
other Insurance?
Find By DateB
Find By DateB
tudent
School City
City, St. & Zip
*gn (>) and today's date. EXAMPLE: >5/1/90
Address
City, St. & Zip
Mailing LabelsB
87114
87120
Bachechi
Bandoni
Barnard
Bearce
Bearden
Becker
Beimer
Benze
Blewer
Bradley
Branom
Bridges
Brown
Burdge
Burns
Burwinkle
Butler
Cacciatore
Campbell
Carey
Carter
Cermak
Chavez
Childress
Civerola
Clammuro
E Main
A$Print Defined List of Mailing Labels
ling Labels
A$Print Defined List of Mailing Labels
Print Defined Mailing Labels
eUeW`Q
S}LzH
Helvetica
Times
Geneva
Monaco
123-456-789
525-74-8056/39307
Switch to Data Entry
Sort and Pause
Print
Preview
Print Defined List
Print Defined List
Print Defined List
Print Defined List
Print Defined List
Print Defined List
Switch to Data Entry
Switch to Data Entry
Switch to Data Entry
Switch to Data Entry
Switch to Data Entry
Switch to List
A"Switch to Data Entry Printing Form
Print A Patient's Information
Switch to Data Entry
Switch to List
Richard
Stuart
Head of Household
Print Letter
Health Problems
First Name
Delete
If Yes
Click Here
Birth
Days
A Next
Prev.
A Omit
A Re-
place
Date Established
Today's Date
ffffff
ffff33
ff33ff
ff3333
33ffff
33ff33
3333ff
333333
wwwwww
UUUUUU
DDDDDD
""""""
Gerald B
FleenorC
5555 Street AddressD
AlbuquerqueE
N.M.DeF
87110G
269-6799H
883-7735M
8/10/92P
Gerald
Robyn
FemaleD
AlbuquerqueE
N.M.DeF
87110G
269-6799H
883-7735M
8/10/92P
Gerald
Robyn
Female
Femalee
StartB
E Main
A$Print Defined List of
Mailing Labels
Print a Patient's Information
PRINTING FUNCTIONS
Total Number
of Patients
DentalPro
MENU
A View
E Main
Index
Home Phone
Family Member
SS Number
Taxable
Comments
Subscriber's Employer
Matteucci
Porter
Print Defined List
Find & Pause
Albuquerque
Tijeras
Print Defined Mailing Labelsed Mailing Labels
A InsuranceB
Emp\Sub Birth DateB
Emp. (Company) NameB
Emp. (Company) AddressB
Emp. (Company) CityB
Dr. Sei Set Up ParametersM
Albuquerque
Emp. (Company) StateB
Dr. Sei Set Up ParametersM
Emp. (Company) ZipB
Group #B
Dental NameB
Dental AddressB
Dental CityB
Dr. Sei Set Up Parameters
Dental StateB
Malep
3/27/42
1/12/46
3/4/74
Gerald
POBox 8184.
Albuquerque
87198-8184
413-66-7144
3/27/42
5555 Street Address
Albuquerque
Albuquerque
Albuquerque
123-456-789
Child
Fleenor
000-00-00
000-00-0000
Albuquerque
RichardB
PorterC
38 Berta DR.D
Tijeras
N.M.F
87059G
281-1909H
8320332-ruthM
8/10/92N
08/12/92P
Tracy
Richard \
Female
FemaleFemalele
Spouse
Bachechi
Campmpmpinkle
CampmpZ
CampmpmpmpmpX
CampmpmpX
Campmp
CampmpZ
Campmp
Campmpmpmp
Campmpmpmp
Campmper
Campmpmpmp
Campmpmp
Campmpr
Campmpmpr
CampmpmpM
Campmpmp
CampmpmpmpM
Campmpmp
CampmpmpM
Campmpmpr
Campmpmp
Campmpmp
Campmpmp
Equicor
nesthesia
Before
Blood
Cancer
Heart
Hyper
Keflex
Kidney
Med-penvk
Penvk
Pre-med
Pre-medrheumatic
Premarin
Pressure
Synthriod
Tension
Dental Pro
Demo 1.0v
DPD Software
Sales information (505) 881-0949
Techinical Support (505) 269-6799
Thank you for looking at DentalPro
. This program is a working demo, you will not be able edit or delete any of the layouts, define fields or Scripting without purchasing a copy.
000-000-000
000-000-000
Dept of Energy
Albuquerque
RichardB
PorterC
5555 Street AddressD
Tijeras
N.M.F
87059G
269-6799H
883-7735M
8/10/92P
Tracy
Richard \
Female
Female
Femalemale
Doris
Gerald
Richard
chard
Maderia
semont
Saddle
Southeast
Stallian
Standford
Tanoan
Topeka
Towne
Trail
Woodwind
Albuquerque
Rancho
Tijeras
Albuquerque
erque
Washington
Matteucci
Sandis
Seimens
State
Supreme
Sysmic
United
883-7735
269-6799
271-1773
Address
Street
Albuquerque
Woodwind
Zunie
11/18/37
9/28/40
12/26/69
4/7/71
12/26/69
Albuquerque
525-84-5380
Matteucci Law Firm
5555 Street Address
Albuquerque
Albuquerque
Albuquerque
123-456-789
Spouse
Child
Child
Child
Breast Cancer/ implantss
000-00-00
000-00-0000
000-000-000ue
VoidB
VoidD
AlbuquerqueE
N.M.M
8/10/92N
08/12/92
Albuquerque
Albuquerque
Albuquerque
Albuquerque
13Yeses
orking version to; DPD Software, P.O. Box 3828, Albuquerque, New Mexico 87190. You may order by phone using a credit card.
Sales information (505) 881-0949
Techinical Support (505) 269-6799
Fax (505) 8F
83-8852
AMERICAN ONLINE "DPD"
COMPUSERVE "70713,1020"
DELPHI "PONIC"
GENIE "PONIC"
87106
87107
87110
87198
87198
01144865513802
1-685-4462
265-5375
266-0407
266-0664
266-3403
268-1080
268-1952
268-6535
268-9019
87059
87106
87111
87114
87120
87120
87121
87123
Service
College
Walla
Washington
Street
Zunie
Fleenor
leenor
Franchini
}Franchini
}nchini
}hini
}chini
}hini
}hini
}0318
10716
10809
14513
123-456-789
Fleenor@
Porter@
Equicor@
Service@
Breast@
ospital@
Hospital@
DATE ESTABLISHED
EMP\SUB SS#
HEALTH PROBLEMS
OTHER INS. PLAN
RELATIONSHIP TO EMP\SUB
STATE
TODAY'S DATE
Coburn
Coffee
Crume
Davalos
Dozier
Durant
Euler
Feibelman
Feuer
Finley
Fishback
Fisher
Follis
Franchini
Franchini
Gardner
Gerety
Giannini
Gilbert
Giomi
Gradi
Greigo
Grossetete
Gutherie
Highfill
Hoehne
Matteucci
Mullane
Mullane-duffy
Nadolny
Ruscetti-kay
Smith
Smith
Boland
Tracy
Virginia
rginia
ginia
ginia
College
Walla
Washington
Christ
Church
Church
Mexico
Printing
Products
Retired
Richards
Sandia
Sandis
Seimens
State
Sysmic
United
WideR
Brain
Camille
Caroline
oline
Casey
Caseyey
Caseyey
Caseyey
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Arlene
Bertha
Bobbie
Bonnie
Brain
Brett
Bryan
Camilla
Camille
Carmel
Carol
Carolina
Caroline
Carolyn
Carter
Caseyeysey
Paula
Richard
Robyn
Robyn
Robyn
Rodney
odney
odney
odney
odney
Roger
Rogererer
Rogerer
Rogerererer
33ffD
123-456-789
Child
Albuquerque
Rancho
Tijeras
Grande
Grande
Grande
Harper
Harper
Heights
Heights
Hendrix
Hendrix
243-6500
243-6500
247-2363
47-2363
47-2363
47-2363
247-2363
47-2363
47-2363
47-2363
47-2363
47-2363
47-2363
47-2363
47-2363
47-2363
47-2363
47-2363
47-2363
47-2363
47-2363
47-2363
47-2363
47-2363
47-2363
47-2363
247-2363
47-2363
47-2363
47-2363
47-2363
255-8719
256-7736
265-3622
268-2631
268-6776
292-0205
292-8801
Albuquerque
87102
87114
87120
Breast
Cancer
Implantss
Pressure
Removedbrain
Rhpre
Rhpre
Rhpre
Rhpre
Rhpre
Rhpre
Rhpre
Rhpre
Doris
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Madeline
Marion
Berta
Address
Albuquerque
Porter
Brokerage
Defense
Defense
efense
Defense
Defense
Defense
efense
fense
fense
fense
DATE ESTABLISHED
EMP\SUB SS#
HEALTH PROBLEMS
OTHER INS. PLAN
RELATIONSHIP TO EMP\SUB
STATE
TOTAL FAMILY MEMBERS
87059
87198-8184
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leenor
Gilbert
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50010
85015
87190
Accident
Aetna
Benefit
Benefits
Benefitspobox
Brokerage
Camelback
Claim
David
000-000-000
Albuquerque
VoidB
VoidC
5555 Street AddressD
AlbuquerqueE
N.M.G
269-6799H
883-7735M
8/10/92
Albuquerque
5555 Street Address
Albuquerque
Albuquerque
Albuquerque
123-456-789
13-789
Energy
Gilbert
State
Mateo
Universityn
Albuquerque
87102
87120
60019
R50560759/fe
560759/fe
0759/fe
50560759/fe
759/fe
759/fe
0759/fe
0560759/fe
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Unoin
Unoin
Consolidated
Digital
Distribution
Electric
Franchini
General
Handlers
Hospital
K-mart
Mexico
National
Printing
Products
Publishing
Retired
Richards
Salad
Sandia
Sandis
Seimens
State
Sysmic
United
Albuquerque
80150
87108
92108
Albuquerque
Albuquerque
123-456-789
Bachechi
Brokerage Service
000-00-00
000-00-0000
000-000-000
000-000-000
Albuquerque
Derque
Derque
Address
mindo
Camino
Canyon
000-000-000
City of Alb
Albuquerque
Paul B MatteucciC
5555 Street AddressD
AlbuquerqueE
N.M.F
87107G
269-6799H
883-7735M
8/10/92P
David
Paula
Brain
Female
Female
Malele
MaleMale
emale
3/20/37
Albuquerque
Albuquerque
525-74-8600
Albuquerque
Doris B
BachechiC
5555 Street AddressD
AlbuquerqueE
N.M.F
87106G
269-6799H
883-7735M
7/27/92P
Doris\
Femalep
10-5-30
Doris
507 Maderia N.E.
Albuquerque
87106
512-22-6066
10-5-30
Neff and co
5555 Street Address
Albuquerque
60019
Albuquerque
N.M.h
Albuquerque
N.M.que
Albuquerque
Tijeras
Malep
12/24/46
1/3/75
4/7/45
Richard
38 Berta Dr.
Tijeras
87059
048-32-1307
4/7/45
5555 Street Address
Albuquerque
Albuquerque
Albuquerque
123-456-789
Porter
Equicor
000-00-00
000-00-0000
000-000-000Albuquerque
Paul B MatteucciC
6401 Calle Candela N.W.D
AlbuquerqueE
N.M.F
87107G
345-4394H
247-4395M
8/10/92N
08/12/92P
David
Paula
Brain
Female
Female
Malele