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Get CPT TB form/amt 2010-2024

Read by: Dose: (.1 cc 5TU PPD) Forearm: R L Place sticker here Result: mm induration positive / negative Please return to Ann Tripicchio, Credential Coordinator via e-mail to: credentials@cptrehab.com (may be faxed as well to 630-766-0855). TB form/amt 6/10/10 .

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