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ROCKYMOUNTAINNEUROLOGICALASSOCIATES370East9thAvenue,Suite#106 SaltLakeCity,Utah84103 Phone8014085700Fax8014085704 AUTHORIZATIONFORUSEANDDISCLOSUREOFPROTECTEDHEALTHINFORMATION PatientName BirthDate
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Salt Lake City social refers to a form/report that employers in Salt Lake City must file to report wages paid to employees and the taxes withheld.
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