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PDF-AUTHORIZATION FOR RELEASE OF MEDICAL PDF document

PATIENTx0027S NAMEDATE OF BIRTH ADDRESS PHONE ARTS TO 402 483 2572 wwwplasticsurgicalartsnet 4400 Lucile DriveSuite103LincolnNebraska AUTHORIZATIONFORRELEASEOFMEDICALINFORMATIONDATEOF

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AUTHORIZATION FOR RELEASE OF MEDICAL: Transcript

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