Document Mentions (4 shared documents)

EFTA00313615

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tion. (check one) To O Healthcare Provider K Insurance Company or Designee O Attorney O Court K Law Enforcement Other Personal Assistant Name: Lesley Groff Address 9 East 71st Street, NY, NY 10021 O Employer Reason for Disclosure 0 Patient Request O Other We will not condition treatment or payment

rcement Other Personal Assistant Name: Lesley Groff Address 9 East 71st Street, NY, NY 10021 O Empl

et) (DIY) (State) Please request/check all that apply: I authorize Mount Sinai to disclose medical information about my. 0 Manhattan O Queens O Huntington Emergency Room visit on. Date(s) OPD Clinic visit. specify clinic: Date(s) FPA Practice/Provider Name of Provider Date(s) Hospitalization f

EFTA01661603

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more cities... http://www.nyc.com/Yellow Pages/New York_Strategy Group_Llc.291595/editorial.aspx 8/15/2007 EFTA01661685 Amazon.com: Profile For Lesley Groff: Reviews Page 1 of 1 amazoncom Your Browsing History Search [People A m See All 41 Product Categories Recommended Rate These For You Item

yled by -.ow hienhoi. Page 160: Shled by Angelo Groff for Enna. Inc Par 214: Fa. June Havoc's Gino Sim

de an appearance at a film festival in Malibu to promote his new indie movie "RSVP," and he'll host a talent show Oct. 17 at Marshall University in Huntington, W.Va. "The rumors of his death are greatly exaggerated," chuckled Mewes' agent, Nancy Oeswein. "I just got off the phone with him. He's certainly n

EFTA00260609

2 mentions1 same-page

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yled by :aha Hennos. Per IliO: Stned by Angelo Groff kr Ennis. Inc. Pep Usk For Ame Havoc*, Gina Simn