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EFTA00132684_sub_001 - EFTA00132684_100
ucted how le obtain urgent and non-urgent dental care Yes: I No: Treatment Priorities: Na Non-urgent non-urgent I Urgent Refiarld lo Sick Cal Redxgraphs eutiorized: PAs: , . Prophylaxis authorized Yes I No (Approval valid 18 months from examination date) BWc Pancrex Pa t Narne: SI 7 C ) 0 4
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