0045- 0000-00 · n d c 5 0 5 8 0 -xxx-x x nasal c ongestion runny nose itchy nose sneezing...
TRANSCRIPT
---------------------------------------------------------------------------------------------------------This is a representation of an electronic record that was signedelectronically and this page is the manifestation of the electronicsignature.---------------------------------------------------------------------------------------------------------/s/----------------------------------------------------
THERESA M MICHELE03/23/2015
Reference ID: 3720231