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Affiliated Gastroenterology, PC Jeffrey J. Ricotta MD 3903 South 7th Street, Suite 1F Terre Haute, IN 47802 8122325900 (fax) 8122322370CONSENT FORM FOR RELEASE/SHARE INFORMATION PATIENT NAME: DATE
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Affiliated Gastroenterology PC is a medical practice specializing in gastroenterology.
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The purpose of affiliated gastroenterology PC is to report financial and operational information of the organization.
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