r application- 2017.pdfrex mobile mammography patient instructions all paüents must present a photo...

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Page 1: r Application- 2017.pdfREX Mobile Mammography Patient Instructions All paüents must present a photo id and insurance card, if applicable, and be pre-registered. Please fax all legible

Please Return Application to:

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Harnett County Health Department Attn: Debra Hawkins 307 W. Cornelius Harnett Blvd. Lillington, NC 27546
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Page 2: r Application- 2017.pdfREX Mobile Mammography Patient Instructions All paüents must present a photo id and insurance card, if applicable, and be pre-registered. Please fax all legible
Page 3: r Application- 2017.pdfREX Mobile Mammography Patient Instructions All paüents must present a photo id and insurance card, if applicable, and be pre-registered. Please fax all legible
Page 4: r Application- 2017.pdfREX Mobile Mammography Patient Instructions All paüents must present a photo id and insurance card, if applicable, and be pre-registered. Please fax all legible