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Katy R. Mooberry DC and Dr. Isaac A. Mooberry DC 3045 Whitman Dr. 102 Evergreen CO 80439 Ph 303-670-7777 Fax 303-482-1946 Doctor s Lien I do hereby authorize the above doctor to furnish my attorney with a full report of my examination diagnosis prognosis etc. of myself in regards to the accident or illness for which I have or will receive treatment at the office of the above doctor. This knowledge and awareness reaps a positive environment that promotes healing and encourages families to...
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