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TO THE FOLLOWING HITEC-LA TEAM MEMBERS VIA EMAIL AS SOON AS POSSIBLE: Clinics: Please email your completed form to Rebecca McLean at rmclean lacare.org. For questions please contact her at (888) 524-4832, Ext. 4189 Private practices: Please email your completed form to Karen Lawson at klawson lacare.org. For questions please contact her at (888) 524-4832, Ext. 4717 Practice Information Practice Name: City: Zip Code: Telephone: Backline Number: Office Manager's Name: Email: Telephone: Med.

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