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EFTA00049963_sub_010 - EFTA00049963_1000
• Mtn/clad how le cbtaLn urgent and nonrurgant dental cam Y13.6: I Not "De-anent Priorities: Nana: Non-urgont non-urgent Urgent Referred to Sick Carl: I Radiographs authorized: PM: Prephytatas authorized: Yes I No I (Approval valid IS months from examination data) BW& Panortsc Pa Nam S
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