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Elm croft Of Quail Springs 14300 North Portland Oklahoma City, OK 73134 ×P) (405× 7556469 ×F) (405×7556474 REVOCATION OF AUTHORIZATION TO DISCLOSE PROTECTED HEALTH INFORMATION Patients Name (print):
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f 4057556474 is a form used for reporting information related to taxes.
Individuals or entities meeting certain criteria set by the tax authorities are required to file f 4057556474.
You can fill out f 4057556474 by providing the requested information in the designated fields on the form.
The purpose of f 4057556474 is to accurately report taxable information to the tax authorities.
f 4057556474 requires reporting of income, expenses, deductions, and other relevant tax-related information.
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