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Magnolia Pediatrics1140 SW Mascot Norris Dr. #104, Lake City, FL 32025 Phone (386) 7196500 Fax (386) 7196503 AUTHORIZATION TO DISCLOSE PROTECTED HEALTH INFORMATION Patient Name:___ DOB:___ SS#___
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Magnolia adult refers to the adult stage of a magnolia tree, while weight refers to the measurement of how heavy something is.
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