Epstein Secrets

4 Facility: NYM Unit: 901 Immunization Date: Provider: Joaquin, Y. MLP Location: Drug Mfg: Lot Number. Dosage: Route: Exp Ot: Comments: Varicella Series Administration: History Unknown, Not Administered Documented Date: 07/09/2019 12:51 EST Immunization Dato: Provider: Joaquin, Y. MLP Location: Drug Mfg: Lot Number: Dosage:

IN, JEFFREY EDWARD Reg #: 76318- J54 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/26/2019 07:54 Provider. Ancrum, Cheryl DOS Unit: H01 ASSESSMENTS: Health Problems as of Dental Health History Encounter date: 07/26/2019 07:54 Health Problems litmalalatam S

54 Fealty: NYM Unit: 1101 Immunization Date: Provider: Joaquin, Y. MLP Location: Drug Mfg: Lot Number: Dosage: Route: Exp Dt: Comments: Varicella Series Administration: History Unknown, Not Administered Documented Date: 07/09/2019 12:51 EST Immunization Date: Provider: Joaquin, Y. MLP Location: Drug Mfg: Lot Number: Dosage:

EIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/26/2019 07:54 Provider: Ancrum. Cheryl DDS Unit: H01 ASSESSMENTS: Health Problems as of Dental Health History Encounter date: 07/26/2019 07:54 Health Problems Health Problem

4 Facility: NYM Unit: H01 Immunization Date: Provider: Joaquin, Y. MLP Location: Drug Mfg: Lot Number: Dosage: Route: Exp Dt: Comments: Varicella Series Administration: History Unknown, Not Administered Documented Date: 07/09/2019 12:51 EST Immunization Date: Provider: Joaquin, Y. MLP Location: Drug Mfg: Lot Number: Dosage:

EPSTEIN, JEFFREY Date of Birth: 01/20/1953 Encounter Date: 07/26/2019 07:54 Reg #: 76318-054 Sex: M Race: WHITE Facility: NYM Provider: Ancrum, Cheryl DDS Unit: H01 ASSESSMENTS: Health Problems as of Dental Health History Encounter date: 07/26/2019 07:54 Health Problems Health Problem

4 Facility: NYM Unit: H01 Immunization Date: Provider: Joaquin, Y. MLP Location: Drug Mfg: Lot Number: Dosage: Route: Exp Dt: Comments: Varicella Series Administration: History Unknown, Not Administered Documented Date: 07/09/2019 12:51 EST Immunization Date: Provider: Joaquin, Y. MLP Location: Drug Mfg: Lot Number: Dosage:

EPSTEIN, JEFFREY Date of Birth: 01/20/1953 Encounter Date: 07/26/2019 07:54 Reg #: 76318-054 Sex: M Race: WHITE Facility: NYM Provider: Ancrum, Cheryl DDS Unit: H01 ASSESSMENTS: Health Problems as of Dental Health History Encounter date: 07/26/2019 07:54 Health Problems Health Problem