| 1 |  Allemagne | Nolte Laura, Levi Deborah | 3:56.96 |
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| 2 | Allemagne | Buckwitz Lisa, Schuten Neele | 3:57.01 |
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| 3 |  États-Unis | Armbruster Humphries Kaillie, Jones Jasmine | 3:57.26 |
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| 4 | Allemagne | Kalicki Kim, Prepens Talea | 3:57.46 |
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| 5 | États-Unis | Love Kaysha, Hill Azaria | 3:57.71 |
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| 6 |  Suisse | Hasler Melanie, Pasternak Nadja | 3:57.96 |
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| 6 | États-Unis | Meyers Taylor Elana, O'brien Jadin | 3:57.96 |
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| 9 | Suisse | Annen Debora, Kora Salome | 3:58.49 |
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| 9 |  Autriche | Beierl Katrin, Williams Cs | 3:58.59 |
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| 10 |  Australie | Walker Bree, Reddingius Kiara | 3:58.82 |
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| 11 |  Chine | Huai Mingming, Wang Xuan | 3:59.44 |
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| 11 |  Canada | Ribi Bianca, Sieben Skylar | 3:59.44 |
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| 13 | Canada | Lotholz Melissa, Mitchell Kelsey | 3:59.53 |
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| 14 | Canada | Appiah Cynthia, Richardson Wilson Dawn | 3:59.79 |
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| 15 |  Grande-Bretagne | Nicoll Adele, Nelson Ashleigh | 3:59.83 |
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| 16 |  Corée du Sud | Kim Yooran, Jeon Eunji | 4:00.04 |
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| 17 |  France | Carla Sénéchal, Margot Boch | 4:00.42 |
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| 18 |  Pologne | Weiszewski Linda, Adamek Klaudia | 4:00.63 |
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| 19 |  Slovaquie | Cernanska Viktoria, Mokrasova Lucia | 4:00.69 |
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| 20 |  Italie | Andreutti Giada, Gatti Alessia | 4:01.17 |
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| 21 | Australie | Blizzard Sarah, Johnson Desi | 4:01.40 |
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| 22 | Chine | Ying Qing, Wang Yu | 4:01.49 |
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| 23 | Italie | De Silvestro Simona, Costella Anna | 4:01.88 |
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| 24 | Autriche | Haslwanter Lea, Festin Victoria | 4:01.91 |
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| 25 |  Taipei chinois | Lin Sin-Rong, Lin Song-En | 4:03.77 |
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