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WellCare Health Plans / Sheffield / Alabama / United States / Nationality / Florence – Muscle Shoals metropolitan area / Helen Keller / Keller


Sponsored by: One Mile Walk 5K Run Entry Fee:
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Document Date: 2014-07-03 11:15:15

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City

Sheffield / Tuscumbia / /

Currency

USD / /

/

Facility

Jackson Highway / Keller Wellcare Center Helen Keller Hospital / Helen Keller Hospital / /

Organization

City/Zip_________________ Phone____________ Age Division for the 5K Run Males / Signature_________________________________ Age Division for the One Mile Run/Walk Males and Females / Helen Keller Hospital / Keller Wellcare Center / /

Person

Mile Start / Mile Walk / /

/

Position

Runner / personal representative / /

ProvinceOrState

Alabama / /

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