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I <br />e'mx, <br />err PanzaMlro. M, D., MBCjCPI Director <br />Marklln C. q. -own, AOministraror <br />52t Sotah hl,jm Lane, Suilc F, Lodi. CA 9524' <br />Bus. 2091333.0305 ^ Fax 2091338.0 19 <br />R 5UtalrA:rV -/A ATE- LL C <br />FAX # (209) 333-0219 <br />DATE: _ '7/2!iz //a - <br />FROM: �.„-G� . , ho <br />RE: <br />NUMBERS OF COPIES INCLUDTNG THIS PAGE: <br />CALL (209) 3330905 FOR FAX PROBLEMS <br />Ji)#_ 26 2012 <br />w r r <br />** WARNTNG - THiS FAX MAY CONTAIN CONFIDrNTIAL MEDICAL INFORMATION ** <br />Confidentiality Notice: The information contained in thia .facsimile <br />transmission is privileged and confidenCial intended for the use of the <br />addressee listed on the cover page. The authorized recipient of this <br />information is prohibited from disclosing this infoxmation to any other party <br />and -is required to destroy the information after its stated need has been <br />fulfilled. If you are not the iAtended recipient, you are hereby notified that <br />any disclosure, copying, distribution, or action taken in reliance On the <br />contents of these documents is strictly prohibited (Federal Regulation 42 CFR, <br />part 2, and 45 CFR, Part 260). Tf you have received this fax in error, please <br />notify the sender immediately by calling the phone number above to arrange for <br />return of these documents. <br />u:word.frm ff6xJrm <br />Received Time Jul. 26, 2012 1:28PM No, 0641 <br />Aceru�ern�AuoalwHon <br />