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6254 Poplar Avenue Memphis, TN 38119 PH: 901.624.3333 Fax: 901.624.1203Medical Records Release Form Patient Name: Date of Birth: I HEREBY AUTHORIZE LEVY DERMATOLOGY TO: (initial below) RELEASE INFORMATION
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The purpose of Memphis magazine June/July edition is to showcase the latest happenings, events, and stories in the Memphis community.
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