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( > (1S,5R,6S)-2-[7-[4-(Carbamoylmethyl)-1,4-diazabicyclo[2.2.2]octane-1,4-diylium-1-ylmethyl]-9-oxofluoren-3-yl]-6-[1(R)-hydroxyethyl]-1-methyl-1-carba-2-penem-3-carboxylate chloride
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