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Not Employed Date Reserve Present Employment* (Experience) Available 1 2 I PH PD O Name of Agency I PH PD O Yes No H. N. 1941 1/14/42 Probable address for the year Telephone No. Date *KEY: I-Institutional PH-Public health PD-Private duty O-Other H. N. I.-Home - Nursing, (check if interested)

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Page
12
Source index
0
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photo
Media ID
0759b3b749db81b0
Size
unknown

Document data

ID
2662387
Core
doc
Type
document
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Document identity
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Document source metadata
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Document source extras
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Page context
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