| 1 | Alcorta, Caroline | West Springfield VA | 4:46.06 | | 35.37 | 1:11.69 | 1:47.76 | 2:23.30 | 2:58.15 | 3:33.77 | 4:10.13 | 4:46.06 | | (35.37) | (36.32) | (36.07) | (35.55) | (34.85) | (35.63) | (36.36) | (35.93) |
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| 2 | Weisner, Kennedy | Elk County Catholic PA | 4:48.16 | | 35.25 | 1:11.45 | 1:47.84 | 2:23.56 | 2:58.97 | 3:35.40 | 4:11.70 | 4:48.16 | | (35.25) | (36.21) | (36.40) | (35.73) | (35.41) | (36.44) | (36.30) | (36.47) |
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| 3 | Barrett, Tessa | Abington Heights PA | 4:49.16 | | 34.40 | 1:11.33 | 1:48.25 | 2:24.29 | 3:00.61 | 3:38.01 | 4:15.14 | 4:49.16 | | (34.40) | (36.94) | (36.92) | (36.05) | (36.33) | (37.40) | (37.13) | (34.02) |
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| 4 | Clahane, Mady | Cumberland Valley PA | 4:49.17 | | 35.47 | 1:11.81 | 1:48.02 | 2:24.06 | 3:00.39 | 3:37.98 | 4:15.21 | 4:49.17 | | (35.47) | (36.34) | (36.22) | (36.04) | (36.33) | (37.59) | (37.23) | (33.96) |
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| 5 | Hayes, Kelly | Pearl River NY | 4:54.10 | | 35.19 | 1:11.64 | 1:48.52 | 2:24.49 | 3:00.84 | 3:38.50 | 4:17.04 | 4:54.10 | | (35.19) | (36.46) | (36.88) | (35.98) | (36.36) | (37.66) | (38.54) | (37.07) |
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| 6 | Cochrane, Kylene | West Morris Central NJ | 4:56.81 | | 35.84 | 1:12.03 | 1:48.88 | 2:25.15 | 3:02.39 | 3:40.97 | 4:19.83 | 4:56.81 | | (35.84) | (36.20) | (36.85) | (36.28) | (37.24) | (38.59) | (38.86) | (36.98) |
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| 7 | Branch, Denise | Benjamin Cardozo NY | 4:57.62 | | 35.49 | 1:11.84 | 1:48.59 | 2:24.98 | 3:01.57 | 3:39.86 | 4:19.02 | 4:57.62 | | (35.49) | (36.36) | (36.75) | (36.39) | (36.59) | (38.30) | (39.16) | (38.60) |
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| 8 | Sheva, Marissa | Pennridge PA | 4:58.69 | | 35.60 | 1:12.05 | 1:49.14 | 2:26.58 | 3:04.46 | 3:42.89 | 4:22.05 | 4:58.69 | | (35.60) | (36.46) | (37.10) | (37.44) | (37.88) | (38.44) | (39.16) | (36.65) |
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| 9 | Leff, Laura | West Genesee NY | 4:59.81 | | 35.58 | 1:12.06 | 1:48.76 | 2:25.32 | 3:02.92 | 3:42.13 | 4:22.60 | 4:59.81 | | (35.58) | (36.49) | (36.71) | (36.56) | (37.60) | (39.21) | (40.48) | (37.21) |
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| 10 | Chapey, Lauren | Mamaroneck NY | 4:59.83 | | 35.98 | 1:12.36 | 1:49.43 | 2:26.36 | 3:05.20 | 3:45.17 | 4:23.46 | 4:59.83 | | (35.98) | (36.38) | (37.08) | (36.94) | (38.84) | (39.98) | (38.29) | (36.37) |
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| 11 | Duca, Paige | Sacred Heart NY | 5:00.12 | | 36.28 | 1:12.92 | 1:50.11 | 2:27.65 | 3:07.41 | 3:47.22 | 4:25.06 | 5:00.12 | | (36.28) | (36.65) | (37.19) | (37.55) | (39.76) | (39.82) | (37.84) | (35.07) |
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| 12 | Warner, Marin | Holmdel NJ | 5:00.23 | | 36.31 | 1:12.54 | 1:49.74 | 2:26.83 | 3:04.73 | 3:43.18 | 4:22.34 | 5:00.23 | | (36.31) | (36.23) | (37.21) | (37.09) | (37.90) | (38.46) | (39.16) | (37.89) |
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| 13 | Burda, Bella | Arlington NY | 5:01.54 | | 36.17 | 1:12.60 | 1:49.67 | 2:27.69 | 3:06.30 | 3:45.11 | 4:23.97 | 5:01.54 | | (36.17) | (36.43) | (37.08) | (38.02) | (38.61) | (38.81) | (38.87) | (37.57) |
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