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CHESTER J. CULVER, GOVERNOR PATTY JUDGE, LT. GOVERNOR DEPARTMENT OF HUMAN SERVICES CHARLES J. KROGER, DIRECTOR INFORMATIONAL LETTER NO. 889 TO: FROM: DATE: SUBJECT: EFFECTIVE: 1. Iowa Medicaid Physician,
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This is a form used for filing specific information related to Department of Homeland Security.
Certain individuals and entities who have interactions with the Department of Homeland Security.
The form should be completed with accurate and detailed information as requested on the form.
The purpose of this form is to gather important data related to interactions with the Department of Homeland Security.
Information such as interactions, transactions, and other relevant details regarding the Department of Homeland Security.
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