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Dhmh. maryland. gov/optometry E-mail dhmh. optometry maryland. gov Public Information Act PIA Form Under the Public Information Act the public is granted access or can be denied access to records. Optometry maryland. gov. If you do not return this form you are giving the board permission to keep your name and mailing address on the roster. 4201 Patterson Avenue Room 307 Baltimore Maryland 21215-2299 410 764-4710 FAX 410 358-2906 Website www. Licensee Opt Out Form I wish to be removed from...
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