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John Be Edwards Dr. Courtney N. PhillipsGOVERNORSECRETARYState of Louisiana Department of Health Office of Public HealthCONFIDENTIAL REPORTING WORKSHEET Pt. Name: ___ MAN: ___ SS#: _________ Address:___Tel:
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John Bel Edwards DR stands for Disclosure Report, which is a financial disclosure form required to be filed by certain public officials.
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Public officials, including elected officials, are required to file John Bel Edwards DR.
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