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Mid-America Chiropractic & Acupuncture Patient Personal/Confidential Data Patient Number: Date: / / About the PatientReason for This Vietnam Address City State Zip Home Phone () Cell Phone () Birth
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Mid-America Chiropractic & Acupuncture is a healthcare provider that offers chiropractic and acupuncture services.
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Mid-America Chiropractic & Acupuncture is required to file by their designated tax authorities.
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The purpose of Mid-America Chiropractic & Acupuncture is to provide healthcare services to patients through chiropractic and acupuncture treatments.
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Mid-America Chiropractic & Acupuncture must report their income, expenses, and any other relevant financial information.
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