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CREDIT CARD AUTHORIZATION 2021CREDIT CARD AUTHORIZATION Today's Date: ___ Name on Card: ___ Billing address of Card: ___ ___ I ___ hereby authorize Cape Ann Marina and Cape Ann Marine Sales & Service
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What is kathleen vine md pc?
Kathleen Vine MD PC is a medical practice owned by Kathleen Vine, a licensed physician.
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Kathleen Vine or any authorized representative of the medical practice is required to file Kathleen Vine MD PC.
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Information such as financial statements, tax identification number, ownership details, and services provided must be reported on Kathleen Vine MD PC.
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