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Ethel Lutheran Nursing & Rehabilitation Center 15152nd Avenue West Williston, ND 58801(701) 5726766(701) 5727579 (Fax)ASSIGNMENT OF MEDICARE/INSURANCE BENEFITS AUTHORIZATION TO RELEASE AND OBTAIN

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The beforml luformran nursing amp is a form used to report information about a nurse's education and training.

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The purpose of the beforml luformran nursing amp is to ensure that nurses meet the education and training requirements for continued licensure or certification.

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