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EFTA00134682_sub_001 - EFTA00134682_100
on A&0 encounkr) Yes g Instructed how to obtain urgent and non-urgent dental we: Yes: I No: Treatment Prtoades: None: Non-urgent non-urgent Urgunt Referred to Sick Colt Radiographs authorized: PM. . Prophylaxis authorizect Yes I No (Approval var 18 months from examination date) BW5: Pa
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