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NEVADA STATE ATHLETIC COMMISSION
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Document Date: 2013-10-30 18:05:04


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City

LAS VEGAS / /

Company

CBC / /

MedicalCondition

hernia / HIV / Fainting / unconsciousness / retinal detachment / secondary glaucoma / blood Cerebral hemorrhage / No Goiter / retinal tear / aphakia / HCV / /

Organization

NRS/NAC Chapter / Department of Business and Industry of the State of Nevada / NEVADA STATE ATHLETIC COMMISSION / /

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Position

above named athlete / physician / BOXER / General / LICENSED PHYSICIAN / /

ProvinceOrState

Nevada / /

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