First Health Services Corporation
Interface Standards • Revised • Information Table
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| lastname | firstname | mi | suffix |
| address | city | state | 00000-0000 |
| 000/000.000 | name@domain.com | http://www.domain.com/ | |
| mm/dd/yyyy | 000-00-0000 | male/female | true/false |
| userid | password |
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