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VALLEY DERMATOLOGY ASSOCIATES, INC., PS & AESTHETICS 3911 Castlevale Road, Suite 301 Yakima, WA 98902 5099667899Acknowledgment of Receipt of Notice of Privacy PracticesPatient Name:___ (Please Print)Date
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Valley Dermatology Associates AMP refers to a specific administrative management program or form related to dermatological practices and associated billing.
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