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Dr. PearlZurich&Associates Pearl Zurich, PSD 1485ChainBridgeRd,Suite202 McLean,VA22101 (703)4000654,drpearlzurich gmail.com www.drpearlzurich.comRecurringPaymentAuthorizationFormScheduleyourpaymenttobeautomaticallydeductedfromyourbankaccount,orchargedtoyourVisa,MasterCard,

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