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Charles D. Troops, Dr. P.H., Director D.F.I. Kurtz, M.D., Medical Director 465 Henry Mall Madison, WI 537061578 http://www.slh.wisc.edu Genetic Diagnosis (07/2013) FSLH# 131 Customer Service: 6082626386,
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Please print using CAPITALS is a requirement to write or type in uppercase letters.
All individuals or entities specified in the document are required to file using CAPITAL letters.
To fill out using CAPITALS, simply ensure all letters are typed or written in uppercase.
The purpose of using CAPITALS is to improve clarity and readability of the information provided.
All relevant information specified in the document must be reported using CAPITAL letters.
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