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Erythema chronicum migrans / Antibody / Western blot / Biology / Microbiology / Lyme disease


Please fill out this form as completely as possible and send or fax to Central Office: Tennessee Department of Health, CEDEP Services, 1st Floor, Cordell Hull Bldg., 425 5th Ave. North, Nashville, TN 37243, Tennessee Dep
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Document Date: 2012-07-11 10:31:29


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City

Nashville / /

Company

kDa (OspC) Laboratory / IgG / /

Facility

Cordell Hull Bldg. / LABORATORY IgG EIA/IFA / /

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IndustryTerm

patient travel / /

MedicalCondition

Lyme Disease / Infection / illness / Rash / EM rash w/ / /

Organization

Tennessee Department of Health Lyme Disease Worksheet Phone / Department of Health / Central Office / /

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Position

Physician / No Unknown Physician / LABORATORY INVESTIGATION Investigator / positive IgM WB / /

ProvinceOrState

Tennessee / /

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