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Get DD 2963 2014-2024

ICE OF PRIMARY RESPONSIBILITY. Enter requested information of the Office of Primary Responsibility or Point of Contact (POC): 5.a. Enter name and address of Medical Treatment Facility (MTF) or Dental Treatment Facility (DTF). 5.b. POINT OF CONTACT NAME (Last, First, Middle Initial). Enter POC name. 5.c. EMAIL ADDRESS. Enter POC email address. 5.d. TELEPHONE NUMBER (Include Area Code). Enter commercial telephone number of MTF or DTF. DD FORM 2963 (BACK), MAR 2014 .

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