Case File
efta-02314900DOJ Data Set 11OtherEFTA02314900
Date
Unknown
Source
DOJ Data Set 11
Reference
efta-02314900
Pages
1
Persons
0
Integrity
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
WOODSON C. MERRELL, M.D.
44 EAST 67th STREET
NEW YORK, NEW YORK 10065
Telephone
Fax:
Checklist for New Patient Inquiries
Name:
Age:
DOB:
Address:
Phone:
SS#:
Referred by:
Current Primary Physician:
Chief Complaints:
EFTA_R1_01208164
EFTA02314900
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Phone
2314900Forum Discussions
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