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Lina M. Marcus, M.D. Timothy P. Leland, M.D., M.S.E. Juan E. Rubio Jr., M.D. Inchon M. Liu, M.D. Medical Information Release Form HIPAA Release Form Name: ___Date of Birth: ___/___/___Telephone #:
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Timothy Cleland MDRetina Associates is a medical practice specializing in retina care.
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