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DR. GREGORY PAMEL DR. BRIAN BRAZZO DR. SHARAN BURMY In order to better serve you we would like to update our records. Thank you. Name Address E-mail address Cellphone number Pharmacy name number I hereby give permission for Pamel Vision and Laser Group to reach me by e-mail regarding appointment reminders and other practice related updates. Signature Date Who can we thank for referring you to our office Are you interested in LASIK/VISION CORRECTION BOTOX FACIAL FILLERS LATISSE FOR...
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