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OUTPATIENT ORDER FORM DIABETES Educational. Date: Apt. Time: Arrival Time: OUTPATIENT DIAGNOSTIC CENTER TO SCHEDULE: 7063892700 FAX this order and required clinical records to: 70638927112470 Daniels
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To schedule 706-389-2700 is a form used to report certain transfers subject to Federal Gift Tax or Generation-Skipping Transfer (GST) Tax.
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