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Patient:

Angell O. De La Sierra 2336 India Blvd Deltona, FL 32738

FHCPMRN:
DOB:

160155 Feb 28, 1932

Home: (386)259-4265 Work:

needs sleep apnea test

need halter and cardiology visit for resting tachycardia

raise head of bed frame 5 inches do not take antibiotics unless instructed please

Thank you for choosing Florida Health Care Plans for your health care needs. If your provider has ordered tests for you we will contact you when we receive the results. If your results are normal, you will receive a letter mailed to you. If your provider would like to discuss your results, our office staff will call you.

Signatures Gordon Jones, MD; May 14 2009

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05/14/2009 1 :43PM

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