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LIMBURGER PODIATRY PATIENT INFORMATION FORM PATIENT NAME: FIRST: LAST: DATE OF BIRTH: / / AGE: SEX: MF HOME ADDRESS: CITY/ HOME PHONE #:STATE ZIP: MAY WE LEAVE A MESSAGE? () YES ALTERNATE PHONE #:
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What is dr steven russell lemberger?
Dr. Steven Russell Lemberger is a medical professional specializing in gastroenterology.
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Dr. Steven Russell Lemberger is the one required to file the document.
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Dr. Steven Russell Lemberger must provide all the necessary information and details in the document.
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