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The Aesthetic and Wellness Center, PLC 3825 State Road 64 E Suite 300 Bradenton, FL 34208 9417490741PATIENT INFORMATION FORM Name: (Last) (First) (M.I.) Sex: (M / F) SSN: Birth Date: Age: Home Address:
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Form 3-taw list is a list of transactions related to securities held by a person or entity.
Any person or entity holding securities is required to file form 3-taw list.
Form 3-taw list can be filled out online or submitted in physical form with all required transaction details.
The purpose of form 3-taw list is to disclose the transactions related to securities held by a person or entity.
Form 3-taw list must include details of all transactions related to securities including date, type of transaction, and value.
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