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<br /> PERMIT(s)Valid only for: DAVITA INC
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Facility iD FA0013665
<br /> Regulated Facility: DAVITA MANTECA DIALYSIS CENTERt Account ID AR0022822
<br /> 1156 S MAIN ST 1.'' � ,
<br /> MANTECA CA 95336H ', IF, 11 �'f' Issued 11/22/2013
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