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EFTA00322253
+0000 Attachments: AVOID MEDICATIONS2015.doc; Demographic-new2016.pdf Please fill out all forms and bring them with you, along with your insurance card & referral (if necessary). Appointment Date: July 22 Appointment Time: 9:00am Office Location: 261 East 78th Street, Fir 4. Between 2nd & 3rd Avenue PLEASE N
EFTA00322257
ient Demographic Date: Jul 18. 2016 at 12:49:35 PM EDT To: Reply-To: Please fill out all forms and bring them with you, along with your insurance card & referral (if necessary). Appointment Date: July 22 Appointment Time: 9:00am Office Location: 261 East 78th Street, Fir 4. Between 2nd & 3rd Avenue PLEASE N