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6318-054 Date of Bldh: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/28/2019 06:51 Provider: SRN Unit: H01 Date Initiated Esimat Handout/Tonic Copay Required: No Cosign Required: Yes TelophoneNerbal Order: No Completed by RN on 07/28/2019 07:22 Requested to be cosigned b
ate Inmate Name: EPSTEIN, JEFFREY EDWARD Reg 33: 76318-054 Quarters: Z04 ALL EXPIRATION DATES ARE AT 24:00 Generated 08/10/2019 11:02 by BUIVIU or Prisons • NYM Page 1 of 1 EFTA00059485 Bureau of Prisons Health Services Medication Summary Historical Complex: NYM—NEW YORK MCC Inmate:
h: 01/20/1953 Encounter Date: 07/28/2019 06:51 Sex: Provider: M Race: WHITE ME RN Reg #: 76318-054 Facility: NYM Unit: H01 Date Initiated Esimat Handout/Tonic Copay Required: No Cosign Required: Yes TelophoneNerbal Orden No Completed by RN on 07/28/2019 07:22 Requested to be cosigned by
ate Inmate Name: EPSTEIN, JEFFREY EDWARD Reg 33: 76318-054 Quarters: Z04 ALL EXPIRATION DATES ARE AT 24:00 Generated 08/10/2019 11:02 by BUIVIU or Prisons • NYM Page 1 of 1 EFTA00132648 Bureau of Prisons Health Services Medication Summary Historical Complex: NYM—NEW YORK MCC Inmate:
: 76318-054 Date of Bldh: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/28/2019 06:51 Provider: Unit: H01 Date Initiated Esimat Handout/Tonic Copay Required: No Cosign Required: Yes TelophoneNerbal Order: No Completed by on 07/2812019 07:22 Requested to be cosigned by
ate Inmate Name: EPSTEIN, JEFFREY EDWARD Reg 33: 76318-054 Quarters: Z04 ALL EXPIRATION DATES ARE AT 24:00 Generated 08/10/2019 11:02 by BUIVIU or Prisons • NYM Page 1 of 1 EFTA00105044 Bureau of Prisons Health Services Medication Summary Historical Complex: NYM—NEW YORK MCC inmate:
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