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CONFLICTOFINTEREST DISCLOSURE STATEMENT (interim form)
Name in full:
(First, middle initial, last): MARC A. STEVENS, JR.
Current occupation, if employed; or, retired: GRADUATE ASSISTANT
If currently
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First middle initial last refers to a person’s full name including their first name, middle initial, and last name.
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On first middle initial last, individuals must report their complete name as stated on official documents such as their birth certificate or identification card.
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