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FOR OH FUSE LL1 2002 STATE OF ILLINOIS DEPARTMENT OF PUBLIC AID FINANCIAL AND STATISTICAL REPORT FOR LONG-TERM CARE FACILITIES (FISCAL YEAR 2002) I. DPH Facility ID Number: Facility Name: 0009175
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ILLINOIS 2001 OHF 12B 12I 10a 2002 Passley IDPH VII ICF SNF 28a preparer reclassification xii Inservice XIX Licensure IMRF Liab CPA Habilitation 12A xviii Blk Outpatients ReclassReclassified Restated FY1999 leaseback

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