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1. Name:Kathy Wallace

2. City and state:Trenton NJ

3. Are you a Southern California resident?Past Californian born and

raised. Been in Jersey fir the past 11 years.

4. Would you like to be added to our in person luncheon guest list?No

3. Email address:monsterclub2@...

4. Obesity Help Profile name and/or OH URL:

5. Are you: Considering Surgery, Pre Op or Post Op Pre-OP

6. Date of WLS:not set yet

7. Surgeon's Name: Dr. Louis Fares

8. Type of Surgery:Lap Roux en Y

9. Highest Pre Surgery Weight:264

10. Insurance or self pay: insurance

11. What is the name of your insurance company that covered your

WLS:NJ Plus Blue Cross Blue Shield

12.Birthdate:02/08/1961

13.Occupation:Librarian

14.Hobbies:writing, doll collecting,reading,knitting,croceting,

drawing.

15.Anything you would like the other members to know about you?

Please feel free to omit any information you don't wish to share.

Your privacy is respected!

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