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*****PLEASE INCLUDE THE PATIENT'S NAME IN THE "NOTE" BOX *****

3401 Patient Care Dr. Lansing, Michigan 48911 PHONE 517.882.8673 1051 North Shiawassee Street Corunna, MI 48817 PHONE 989.723.6574
108 West Higham Street St. Johns, MI 48879

PHONE 517.882.8673 FAX 517.882.3935

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