Personal Details
First Name
Middle Name
Last Name
Sex
Male
Female
Others
Date Of Birth
Address Details
Address 1
Address 2
Address 3
State
City
Country
Nigeria
Others
Additonal Details
Marital Status
Annulled
Divorced
Legally Separated
Married
Other
Other
Separated
Single
Unknown
Unmarried
Widowed
Nationality
Afghan
Albanian
Algerian
American
Andorran
Angolan
Antiguans
Argentinean
Armenian
Australian
Austrian
Azerbaijani
Bahamian
Bahraini
Bangladeshi
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Barbudans
Batswana
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BENIN REPUBLIC
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Bhutanese
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Bruneian
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Cambodian
Cameroonian
Canadian
Cape Verdean
Central African
Chadian
Chilean
Chinese
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Croatian
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France
French
Gabonese
Gambian
Georgian
German
Ghanaian
Greek
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Guinea-Bissauan
Guinean
Guyanese
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Hungarian
Icelander
india
Indian
Indonesian
Iranian
Iraqi
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Italian
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NI
Nicaraguan
NIFF
nig
NIGE
NIGEERIA
NIGER
nigeran
NIGERIA
nigerian
Nigerien
NIGERU
NIGERUAN
NIGRERIA
Ni-Vanuatu
NNIGERIA
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Tanzanian
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Tunisian
Turkish
Tuvaluan
Ugandan
Ukrainian
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Venezuelan
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Welsh
Yemenite
Zambian
Zimbabwean
Occupation
Arts and entertainment
Blue Collar
Business
Healthcare and medicine
Industrial and manufacturing
IT Professional
Law enforcement and armed forces
Other
Science and technology
Unknown
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Patient Category
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Clearline
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Bupa
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NHIS
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HODGE AUTOS
SWISS
God's favorite house
Ardunny
Agip
Commercio partners
Dominion consulting
Sj abed
Gravitas
Russelsmith
Whassan
Corona school
Tokunbo
Nigerian stock exchange
Additional Information
Contact Details
Mobile Number
+234
Email ID
Preferred CRI Centre
CRI Health Centre VGC
Cri Health Center Newrest
Cri Health Centre Pau
Quickcare Health Centre Egbeda
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