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Unformatted text preview: Appt Date/Time: 10/27/20 Referral Timeframe First Available Appt (w/in 5 Business days) Stat (w/in 24 hrs) Provider: Ron Lupez, M.D. Donald Lawler, M.D. Robert Hughes, D.O Neil Stern, D.P.M. Joel Lively, P.T. Please Include the Following: Copy of Insurance Card Demographic Information Treatment Notes Blackburn Primary Care Associates, P.C. Blackburn Primary Care Assoc., P.C. 1990 Turquiose Dr. Blackburn, WI 12345 Diagnostic Reports Hospital/Facility Mercy Hospital Presbyterian Hospital Outpatient Surgical Complex Health and Wellness Ctr...
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- Winter '10
- Blackburn Primary Care