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STATE OF MICHIGAN ADMINISTRATIVE HEARING SYSTEM FOR THE DEPARTMENT OF COMMUNITY HEALTH P.O. Box 30763, Lansing, MI 48909 (877) 833-0870; Fax: (517) 373-4147 IN THE MATTER OF:, Docket No. 2013-9047
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Note: The exact requirements and processes for filling out a witness statement may vary depending on jurisdiction and the specific circumstances of the case. It is advisable to seek legal guidance or consult relevant guidelines for accurate and appropriate documentation.
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