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50 04/30/YYYY 1150 04 DAYS " LONG, BERNIE 4983 REED STREET ALMOND, NY 14804 (607)555-3319 # LONG, BERNIE 4983 REED STREET ALMOND, NY 14804 " (607)555-3319 Husband # ! (607)555-3319 Husband $ ! % John Black, MD 369 Fever of undetermined origin John Black, MD & ! & ! Acute Pyelonephritis Dehydration & $ : Bed rest Light ' Regular Low Cholesterol Follow-Up: Call for appointment Usual Low Salt Office appointment on Unlimited ADA Other: Other: Calorie To be seen for.

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