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EFTA00110337
d how to obtain urgent and non-urgent dental care: Yes: i No: Treatment Priorities: None: Non-urgent non-urgent Urgent Referred to Sick Call: Ftadlographs authorized; PM: Prophylaxis authorized: Yes I No (Approval valid 18 months from examination date) BWs: Panorex-. Pa' ant Nam a n i --) .61P
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