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PRINTED: 11×29/2021 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION×X1) PROVIDER×SUPPLIER×CIA IDENTIFICATION
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PDF Lisa Prokosch HFE stands for the Personal Financial Disclosure Form for Lisa Prokosch, who is required to file this form as a part of financial transparency requirements.
Lisa Prokosch or any individual with the same name and financial disclosure obligations is required to file the PDF Lisa Prokosch HFE form.
The PDF Lisa Prokosch HFE form can be filled out electronically or by hand, following the instructions provided on the form itself.
The purpose of the PDF Lisa Prokosch HFE form is to disclose the financial interests and potential conflicts of interest of Lisa Prokosch or the individual required to file the form.
The PDF Lisa Prokosch HFE form requires reporting of assets, income sources, investments, debts, and other financial interests that could present conflicts of interest.
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