
Get the free Phone (386) 758-6ot;4 FAX (3Bo) aq 3-i lse Zip: 32055
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Arizona Khanewal, MD Mitchell Duterte, MD 4355 NW American Lane Lake City, FL 32055 Phone (386) 7586ot;4 FAX (3Bo) a 3i LSE AUTHORIZATION FOR THE USE OR DISCLOSURE OF PROTECTED HEALTH INFORI4ATION
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