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State of California Department of Pesticide Regulation FORMS REQUISITION Abbreviated DPR197 DR FAX NO: 9164453907 Attn: Scott Benson COUNTY: ORDERED BY: PHONE NO: DATE ORDERED: Enforcement PRENF101
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The abbreviation stands for abbreviated Daily Patient Record form.
Healthcare providers such as doctors, nurses, and medical assistants are required to file the abbreviated dpr-197doc - cdpr.
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