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Revised2/2015BalanceTreatmentofSanLuisObispo IntensiveOutpatientProgram 1551BishopStreet,SuiteA130,SanLuisObispo,CA93401 Tel8055482200Fax8055482629www. BalanceTreatment.comAUTHORIZATIONFORRELEASE,

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