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CALIFORNIA - TRICARE West109.37 001 A4211 00 G 2017-03-01 2018-01-01 CA 109.37 004 A4211 00 G 2016-04-01 2017-03-01 CA 20.52 001 A4211 00 G 2016-04-01 2017-03-01 CA 20.52 004 A4212
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