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The most important known carcinogen in the United States is: Neutrophils Tobacco Antibiotics Nanoshells
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Answer ; tobacco.

Reason ; Among the given option, thye above mentioned option would be the appropriate one which is considerd as most known carcinogen in the US. The option such as neutrophill, antibiotics and the nanoshells are not considered to be a carcinogen, cause they didn't affect the health of the human being harmfully as like the above mentioned things do.

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