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For further information about this policy contact Chad Bailey CAO 904-398-3262 or write to 4800 Belfort Road Jacksonville Florida 32256. Borland-Groover Clinic Place Sticker Here PATIENT GENERATED MEDICAL HISTORY Name DOB Email Primary Care Physician Pharmacy Referring Pharmacy Phone Directions Please circle any of the following you have personally had during your life YOUR PAST MEDICAL HISTORY Asthma COPD Emphysema Blood Transfusion Date Cancer Lung Cancer Breast Cancer Ovarian Cancer Colon...
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Borland-Groover Clinic is a medical facility specializing in gastroenterology.
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