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OPTOMETRIST/CLINIC:___ FAX 2187410800 Phone2187413000 Advancedoptical3000@gmail.comADDRESS:___ ___ FAX NUMBER: ___ PHONE:___Date:___/___/___I authorize the above named Optometrist/Clinic to release
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Naval Hospital Guantanamo Bayhealth is a medical facility operated by the United States Navy in Guantanamo Bay, Cuba.
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