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PRINTED: 01/05/2017 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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Surveyor 29081 is a form used to report information about a property.
Property owners or individuals responsible for the property are required to file surveyor 29081.
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