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Goodman Chiropractic 2206 Curlew Road, Palm Harbor, FL. 34683 Phone (727) 7727788Fax (727) 7720400Patient NameBirthdateAddress Sex: M / City State Zip Height: Weight: lbs SS #: Marital Status: S M

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1. Start by gathering all necessary personal information, such as your full name, date of birth, and contact details.
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Lipkin Chiropractic Clinic is a healthcare facility specializing in chiropractic care.

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