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City Davao / Cebu / Makati City / Manila / / Company THE STEAMSHIP MUTUAL UNDERWRITING ASSOCIATION (BERMUDA) LIMITED T / STEAMSHIP MUTUAL MANAGEMENT / Supercare Medical Services Inc / / Country United Kingdom / Philippines / / Currency USD / / / Facility Floor Trafalgar Plaza / Pascual Gutay American Outpatient Clinic / Laboratory Centre / John Tan Building / Manila S.M. Lazo Medical Clinic / / / MedicalCondition Blood Disorder YES / NO / Migraine YES / NO / Muscular weakness / Diabetes YES / NO / HIV / Rheumatic fever YES / NO / Ear Infections YES / NO / Pleurisy YES / NO / illness / MS / infections / Chest pain YES / NO / Pneumonia YES / NO / Asthma / Paralysis / Tuberculosis YES / NO / Heart attack YES / NO / Fainting / Shortness of breath / High blood pressure YES / NO / diseases / Varicose veins YES / NO / Epilepsy / Bronchitis YES / NO / crew illness / Depression / / Organization Letitia Abesamis Cebu Physicians Diagnostic Services Centre / STEAMSHIP MUTUAL UNDERWRITING ASSOCIATION / Guzman Iloilo Physicians Diagnostic Services Centre / Iloilo PDS & Laboratory Centre / Financial Services Authority / Registered Office / Bermuda Monetary Authority / ED Registered Office / Stella Polentinos Davao Physicians Diagnostic Services Centre / / Person A. Soriano Jr. / Pedro de Guzman Iloilo / Jose Palma / Glennda Canlas / Jeanne Maddern / Chris Adams / Pascual Gutay / / / Position undersigned physician / / Technology X-RAY / MRI / / URL www.simsl.com / /
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PEME (aged 46 yrs and above)2.xls