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Dr. Oscar F. Bugatti AUTHORIZATION TO RELEASE HEALTHCARE INFORMATION Patients Name: DOB: Patients Name: DOB: Patients Name: DOB: Patients Name: DOB: I request and authorize AAA PEDIATRICS 2200 Spitz
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Dr. Oscar F. Sugastti is a form that is used for reporting financial information.
Individuals or entities that meet certain criteria are required to file Dr. Oscar F. Sugastti.
Dr. Oscar F. Sugastti can be filled out manually or electronically by providing the required financial information.
The purpose of Dr. Oscar F. Sugastti is to report financial information accurately.
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