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John Bel Edwards Governorate of Louisiana Department of Health Office of Public Health CONFIDENTIAL REPORTING WORKSHEET Stephen R. Russo, ACTING SECRETARY Pt. Name: MAN: SS#: Address:Tel: () City:
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Namemrnss is a document used for reporting specific identification and information required by regulatory authorities.
Entities and individuals who meet certain criteria set by regulatory authorities are required to file namemrnss.
To fill out namemrnss, follow the provided guidelines, ensure all required fields are completed accurately, and review for compliance with regulatory standards.
The purpose of namemrnss is to collect and report necessary identification and information to facilitate compliance with regulatory requirements.
Reported information on namemrnss typically includes names, addresses, identification numbers, and other related data as required by the authorities.
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