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Patient Information
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Alaska
Alabama
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District of Columbia
Delaware
Florida
Federated States of Micronesia
Georgia
Guam
Hawaii
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Maryland
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Michigan
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Mississippi
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Ohio
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Pennsylvania
Puerto Rico
Palau
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South Carolina
South Dakota
Tennessee
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Utah
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Vermont
Washington
Wisconsin
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Wyoming
Zip
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Insurance Carrier
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Insurance Carrier
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Appointment Information
Preferred Provider
----------
Dr Mansouri
Dr Tadrus
Jacob Moore
Preferred Location
----------
Falmouth Office
Route 3 Office
Preferred Speciality
----------
Glaucoma
Diabetic Eye Exam
Cataract Eval
Priority
No Priority
Low
Medium
High
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