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Santa Clara County Public Health Immunization Program 976 Lenzen Avenue Suite 1100 San Jose CA 95126 Phone 408 792-5007 Fax 408 947-8752 New Mother Immunization Education Project IMMUNIZATION MATERIALS ORDER FORM Item Name All items are free Maximum IMM-75 Card California Immunization Record CIR Yellow Quantity Requeste d Shipped PATIENT EDUCATION MATERIALS IMM-234 Parents protect your little one with baby shots with childhood immunization checklist Specify of E/S Immunization Program Clinic...
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