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CHANGE REQUEST FORM 6300 Jefferson St NE, Suite 150 Albuquerque, NM 87109 1 (800) 2332576 (505) 2226400 Fax: (505) 8848611Please see instruction sheet attached and PRINT CLEARLY. Retiree Personal
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Gather all necessary information such as name, contact number, address, and reason for the inquiry.
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Individuals who need to schedule an appointment for x-ray services at X-Ray Associates of.
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Patients who have inquiries about their radiology reports or need to contact the facility for any reason.
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Healthcare providers or facilities that offer X-ray services are required to file contact x-ray associates of.
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