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Old Dominion Medical Center 6715 Whittier Avenue, McLean VA. 22101 TEL: 7033565700 FAX: 7034488211 Allen B. Horne, M.D. Patricia Leighton, N.P.AUTHORIZATION FOR THE RELEASE OF MEDICAL INFORMATION

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Old Dominion Medical Center is a healthcare facility that provides medical services to patients in the community.

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