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D. Ralph J. Curtis M. D. Paul S. Saenz D. O. Timothy S. Palomera M. D. Marque Allen DPM Richard T. Steffen M. Name Printed Email Address Signature care practitioner s and any physician assistant athletic trainer or nurse practitioner assisting each of them are. D. Eliot Young M. D. Hector Lopez M. D. and Dan Santa Maria M. D. the health care practitioner s and any physician assistant athletic trainer or nurse practitioner assisting each of them are conducting a physical examination or medical...
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