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Staple RX behind completed application; additional information behind RX. Rev. 6/17 Patient Assistance Program PO BOX 66764 St. Louis, MO 63166 +1 8444AGNPAP (+1 8444246727) Fax 8447080036 ALLERGANallergan.com/pap
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8444246727 is the phone number for the Internal Revenue Service (IRS) helpline for taxpayers.
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