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04/02/2014 08:37 12092245262 DELTA REHAB AND CARE PAGE 01/02 <br /> FAX SHEET <br /> Delta Rehabilitation and Care Center <br /> 1334 South Ham Lane <br /> Lodi, CA 95242 <br /> (209)334-3825 <br /> Fax (209) 224-5262 .* <br /> Send to. a 6 From: j `:5A' s4, tca <br /> Attention! Date: <br /> r 2� <br /> Office Location: j '.'16 1� ^ Oflrce Locat n: <br /> Fax Number: Q phone Number: i— <br /> U � 7 (j <br /> E Urgent. u Reply ASAP [�Please Comment ❑Please Rcview For Your information <br /> Total Pages Tnchicling Cover: <br /> If any pages are not received,please contact Delta Rehais immediately. <br /> Comments: <br /> C <br /> Aexe -S 71-A- V-le <br /> r <br /> Confidentiality Statement <br /> This FAX is intended for the use of those to whom it is addressed and may contain information that,is privileged,confidential,and exempt from <br /> disclosure under applicable law(s). if the person receiving this is not the intended recipient,employee or agent responsihic for delivering this <br /> message to the intended recipient,you arc hereby notified that any dis.scmination,distrihnrion or copying of this communication is strictly <br /> prohibited. If you have received this FAX in error.please call(209)334.3825 immcdistcly and return the original to us,Thank you. <br /> Received Time Apr, 2, 2014 8: 38AM No, 0995 <br />