Records Release - DeVaney Dentistry at Brassfield

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Records Request

    DeVaney Dentistry at Brassfield

    2018 New Garden Rd, Suite D

    Greensboro, NC 27410

    336.540.0026 – phone

    336.540.0036 – fax

    brassfield@devaneydentistry.com

    Signature of the person authorizing release:

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