International Center for Types A and B Niemann-Pick Disease
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Basic Information
Name
Age
Sex
male
female
Street
City
State
Zip
Country
Phone
Fax
E-mail
Clinical Information
Diagnosis
Type A
Type B
Type C
Unknown
Age at Diagnosis
Method of Diagnosis
Clinical
Enzyme test
DNA test
Other
Contacting Physician Name
Physician Phone Number
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