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Sharon Cruz 1 Atified MicroBlade Artist J2@612-0430 <br /> Infection,Adverse Reaction,Allergic Reaction Incident Report <br /> Date Reported: f / Date of Procedure: <br /> Date Mailed: <br /> Client Name: Address: <br /> Work Phone: City: <br /> Home Phone: State &Zip: <br /> Color(b., ®d: <br /> Description o,, <br /> Attending Physician: <br /> Address: <br /> Phone: <br /> Page 8 of 8 <br />