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3501 Health Center Boulevard, Suite 2440 Bonita Springs, Florida 34135 Phone: 2399493045 Fax: 2399493015 AUTHORIZATION TO RELEASE HEALTH INFORMATION PATIENT name (print) Date of Birth Street Address
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Roibecker2doc is a document used to report financial information.
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The purpose of roibecker2doc is to provide financial information to the relevant authorities.
Roibecker2doc requires reporting of income, expenses, and other financial transactions.
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