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SJ County Public Health Svcs Stockton Health Center
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 User Add/Edit Change/Expire Password Users Clinics Users Services
UserIDNameProviderClinicIs SysAdminStatusArchivedLast Updated
devtestTest, DevelopmentSJ County Public Health SvcsStockton Health CenterYesInActive
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User Add/Edit
Date  Required 
Date of Birth  Required 
Social Security Number
Phone  Required 
Zip
Dosage 1
Phone Ext
Percent
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Alpha
Text
HTML
Password
A Select Box
            
Char Code Test