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10073 Valley View St. Ste. 221 Cypress CA 90630 order larecordscopy. com Los Angeles Records Service Ph 714-828-6100 Fx 877-420-5573 Record Retrieval/ Litigation Support RECORDS REQUEST Date Phone Firm/Office E-mail Address Ordered by Fax Your File No. Records Being Requested Records RE Date of Injury AKA Date of Death if deceased Date of Birth Medical Record No. Social Security No. Policy No./Group No. Request Type Rush Order Type Please Select / please select Authorization/Subpoena Subpoena...
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